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Employment Type:

Part time

Shift:

Description:

SUMMARY

This position is responsible for providing Central Valley Health Plan with extracting or obtaining data related to patient safety and medication adherence in order to meet HEDIS goals set by CMS.

REQUIREMENTS

1. High school diploma or equivalent is required.

2. California State Board of Pharmacy registration as Pharmacy Technician is required.

3. Ability to interact with a computer system and software such as Microsoft Excel or Word is required.

4. Ability to work as part of a collaborative team is required.

5. Ability to demonstrate strong attention to detail and accuracy is required.

6. CPhT certification is preferred.

ROLE SPECIFIC ACCOUNTABILITIES

1. Demonstrate proficiency in understanding HEDIS measures as defined by CMS.

2. Extract data from electronic medical records to submit to CMS.

3. Make calls to members or providers to ensure medications are taken timely in accordance with the patient safety adherence measures.

4. Download Reports from Health Plan platforms. Trend and perform analysis of pharmacy utilization.

5. Send faxes to providers to ensure medications are being sent to the pharmacy in a timely manner to improve compliance with the patient safety adherence measures.

6. Electronically transmit prescriptions designated by the clinical pharmacists for day supply as outlined by the standard operating protocols with Health Plans.

7. Assist members with enrollment in the Health Plan pharmacy and ensure providers have updated pharmacy information.

8. Review and filter reports for Pharmacist review such as the adherence and statin reports.

9. Obtain medical records for medication reviews completed at provider’s office to meet the Care of Older Adults: Medication Review measure. Assist with clinical pharmacist scheduling to complete medication reviews for members whose providers have not completed one.

10. Assist with scheduling and/or preparation of medication reviews by pharmacist after hospital discharge.

11. Maintain records of activities completed including month to month or year to year comparisons to show productivity and improvement.

12. Communicate with team members in daily and/or weekly discussions to help monitor progress and improve HEDIS measure productivity.

Pay Range: $21.98 - $30.77

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran