What are the responsibilities and job description for the Member Advocate - Pharmacy position at The Health Plan (THP)?
Under the general direction of the Pharmacy Operations Manager, the Member Advocate is responsible for coordinating copay assistance for members and directing members on how to apply for low-income subsidy for Medicare Part D.
Required
The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
Required
- High School Diploma
- Proficiency in Microsoft Excel, Microsoft Word and internet search engines.
- Strong verbal, written, analytical and interpersonal skills.
- Ability to work effectively independently.
- Strong organizational, time management and multi-tasking abilities.
- Pharmacy Technician Certification.
- Medication knowledge or previous MCO experience.
- Complete timely and accurate documentation of contacts and outcomes in referral platform.
- Performs research to identify appropriate community resources and maintains information of available resources to meet various member needs.
- Directs members on how to apply for low-income subsidy for Medicare Part D.
- Prioritizes assignments appropriately and maintains flexibility as new priorities arise.
- Promotes communications, both internally and externally, to enhance effectiveness or pharmacy services for membership.
- Strives to improve quality in all areas of responsibility and cooperate with all departments to improve quality throughout The Health Plan.
- Ensures that all financial assistance applications are processed timely and accurately.
- Provide excellent customer service to members and providers.
- Assist pharmacist with medication reconciliation if needed.
- Back-up for phone queues as needed.
- Work DSNP IR referrals for diabetic and nebulizer testing supplies.
- Work any pharmacy mail marked “Return to Sender.”
The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
- new position