Jobs · Healthcare

Outreach Pharmacy Specialist-3

BlueCross BlueShield of Tennessee · United States · 1 wk ago
RemoteRemoteHealthcareFull-time

In this role, you will support the Senior Care Outreach and Retention team by serving as a key point of contact for members navigating their pharmacy and healthcare needs. You will focus on medication adherence and member education, helping ensure members understand their prescriptions, benefits, and available resources to support their overall health and well-being. This position combines inbound and outbound phone support, allowing you to engage directly with members while providing guidance and assistance related to their medications and health plan benefits.

You will build meaningful connections with members, address questions and concerns, and help remove barriers that may impact medication adherence and health outcomes. You will play an important role in improving the member experience by delivering compassionate, member-centered support and helping members stay engaged in their care.

Responsibilities

  • Reviewing, updating, maintaining and monitoring pharmacy information disseminated to external and internal customers (as necessary).
  • Conducting outbound educational telephone calls regarding medication adherence to members, prescribers and pharmacists as directed.
  • Motivating members to become compliant by refilling their prescriptions and/or coordinating necessary communication or scheduling with providers and pharmacies.
  • Handling customer service inquiries and problems via the telephone.
  • Documenting interactions, collaborating with internal teams, and contributing to outreach efforts that promote quality care and positive health outcomes.

Requirements

  • Certified Pharmacy Technician (CPhT) certification is required.
  • High School Diploma or equivalent.
  • 2 years of experience in a retail pharmacy or comparable customer service environment.
  • 1 year of experience in a pharmacy setting with knowledge in medical terminology.
  • 1 year of technical or operational experience.
  • Experience in a call center or customer service environment.

Skills

  • Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint, and Copilot).
  • Strong oral and written communication skills.
  • Excellent interpersonal and organizational skills.
  • Ability to work independently on multiple tasks involving critical deadlines with little or no supervision as well as part of a team.
  • Basic understanding of medications evaluated under Medicare's Star Ratings system and the impact of medication adherence on member outcomes (preferred).

Schedule

Monday–Friday, 8:45 a.m. – 5:15 p.m. EST

This is a remote role within a collaborative and supportive team environment. Position includes both inbound and outbound member phone interactions throughout the day.

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