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Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Medication Therapy Management (MTM) Technician

Job Description

The MTM Technician is responsible for both making outbound and receiving inbound calls to qualified entities across all lines of business to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management (MTM), Adherence, and Statin use in Persons with Diabetes (SUPD) programs. This position communicates with providers, members, and pharmacies to gather and document accurate clinical information about qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes.

Responsibilities

+ Receive inbound and make outbound calls to eligible beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant

+ Utilize Prime’s MTM process management system to record member specific information

+ Assess beneficiary information to ensure appropriate interaction is scheduled with appropriate MTM clinician (i.e., Pharmacist)

+ Perform outreach calls to pharmacies to research contact information

+ Address and triage queries regarding MTM related topics by transferring calls to MTM staff or other department help lines

+ Document MTM eligibility and program status in the applicable software systems (i.e., MSA Toolbox, RX Claim)

+ Other responsibilities as assigned

Education & Experience

+ High School diploma from an accredited school or equivalent GED

+ 1 year of work experience in customer service

+ Must be eligible to work in the United States without need for work visa or residency sponsorship

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

+ Has suitable home office (i.e., chair, desk, internet, etc.) that meet Prime required standards (if work from home position)

+ Strong interpersonal communication skills with focus on professional demeanor and empathy

+ Strong verbal and written communication and problem-solving skills

+ Strong organization skills with the ability to handle multiple tasks, prioritize and meet deadlines

+ Proficient in Excel, Word, and system operations (e.g. workflow processes and case management)

+ Government programs (Medicare) knowledge

Preferred Qualifications

+ Contact Center experience

+ Pharmacy and/or PBM experience

+ 1 year of experience in healthcare industry

+ Experience working with highly confidential medical information

+ CPhT certification

+ Fluency in another language (Spanish)

Physical Demands

+ Ability to sit 6 or more hours per day

+ Occasionally required to stand, walk and stoop, kneel, and crouch

+ Ability to work a flexible schedule including evenings, weekends, holidays, overtime

+ Ability to work a set, pre-determined break and lunch schedule

+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   _

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].