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
Requirements
High School diploma from an accredited school or equivalent GED
Must be eligible to work in the United States without the need for work visa or residency sponsorship
This position a Hybrid position and will require employee to be ONSITE.
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
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)
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 and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
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.
Benefits
Health insurance
Additional Information
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Medication Therapy Management (MTM) Technician - Hybrid | Must Reside in MN Job Description
The Medication Therapy Management (MTM) Service Specialist is responsible for receiving inbound and making outbound calls to qualified members across all lines of business to review the benefits of the MTM program. This position speaks with members to gather and document accurate information about the member and/or the members' medications and related disease states using the MTM Program system and processes.
Primetherapeutics · Eagan, MN