at Prime Therapeutics in Boise, Idaho, United States

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

MTM Service Specialist

Job Description

The Medication Therapy Management (MTM) Service Specialist is responsible for receiving inbound and making outbound calls to Medicare Part D qualified members to review the benefits of the MTM program. This position speaks with members to gather and document accurate information about the member's medications and related disease states using the MTM Program system and processes.

Responsibilities

Receive inbound and make outbound calls to eligible members to communicate MTM information

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

Assess beneficiary information to ensure appropriate level of intervention is scheduled with appropriate MTM clinician (Pharmacist or Nurse)

Address and triage queries regarding MTM related Medicare Part D topics by transferring calls to MTM staff or other Prime Therapeutics department help lines

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

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

Other responsibilities as assigned

Required Qualifications

High School diploma from an accredited school or equivalent GED

2 years of work experience in customer service in the healthcare industry

Must be eligible to work in the United States without 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

Government programs (Medicare) training and knowledge

Preferred Qualifications

Contact Center experience

Pharmacy and/or PBM experience

Experience working with highly confidential medical information

Proficient in Excel, Word, and system operations (e.g. workflow processes and