Pharmacy Care Coordinator - Clinical Pharmacy Operations

Job Description

A bit about this role:

Devoted Medical is building clinical programs to manage and coordinate care in a manner consistent with Devoted's values of treating every member like family. Medication plays a crucial role in helping people manage chronic conditions, but in many cases effective medication management is limited by barriers to access, uncoordinated prescribing, or a failure to use the most effective evidence-based medication therapies. For example, despite a mountain of evidence, less than 1 in 10 people with congestive heart failure (CHF) are prescribed evidence-based medications proven to save lives and prevent hospitalizations.

Devoted's clinical pharmacy team aims to support improved therapeutics for Devoted members. It supports this work in three ways:

• Conducting medication reviews (via direct member engagement and pharmacist consult support for other clinicians)

• Virtual pharmacist-led or clinician-led care via telemedicine to close therapy gaps

• Coordinating care for changes in therapy by counseling members and engaging prescribers and pharmacies

This work is done in service of a number of goals. The clinical pharmacy team drives Devoted's quality and Medicare Stars performance across multiple programs such as:

• SUPD (Statin Use in Persons with Diabetes)

• SPC (Statin Use in Persons with Heart Disease)

• MTM (Medication Therapy Management)

• TCC (Total Cost of Care)

• Polypharmacy

During appointments with our pharmacists and clinicians, medication opportunities are identified.That's where Pharmacy Care Coordinators (PCCs) step in. PCCs ensure recommendations reach the outside provider, follow up with pharmacies on claims issues, pick-up confirmations, or discontinuations, and keep the member informed of any changes along the way.

As a PCC, you will partner with our Clinical Pharmacy and Operations teams on outreach, coordination, and follow-up to provide best in class care to our members, as part of a mission-driven, team-oriented, joyful culture.

Responsibilities and Impact will include:

•  Supports clinical outreach campaigns by making outbound calls and utilizing portal chat to members to schedule appointments with the pharmacist team to address clinical gaps or medication concerns

• Supports cost of care efforts by reaching out to providers and members to offer lower cost alternative medication options

• Manages an assigned caseload which may require provider, pharmacy, and/or member follow-up to address medication recommendations, concerns, or questions

• Independently oversees assigned cases and outreaches with timely follow-up, clear next steps, and thorough documentation

• Helps members navigate their Devoted Health benefits

• Participates in sprints, pilots, and special projects as they launch

• Collaborates with the broader pharmacy team to support shared goals and coverage needs

• Assists with training and shadowing when new team members join the team

• Participates in team and pharmacy department activities and responsibilities 

Required skills and experience:

• At least 3 years of work experience in health care or retail pharmacy

• Active National PTCB Certification

• Comfortable making a high volume of outbound calls to members, providers, and pharmacies

• Comfortable managing daily responsibilities and tasks independently

• Ability to shift between tasks, projects, and priorities frequently

Desired skills and experience:

• Highly organized and detail-driven

• Comfortable learning new software and adapting as tools and workflows evolve

• Adaptable and flexible, with a willingness to take on new or shifting tasks positively

• A true team player who brings new ideas to the table, works through solutions with others, and lifts up their teammates

• Comfortable speaking with physicians, pharmacies, and patients, with a genuine passion for our members

• Thrives in a fast-paced and dynamic environment

• A transparent communicator about your work, what's going well, and what's not, with a thoughtful eye for improving processes

Salary range: $23.00 - $30.00 hourly

hourly

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.