Quality Improvement - STARS Medication Adherence Specialist 195-1023

Key Responsibilities

• Makes outbound calls to members and healthcare professionals regarding patient medications, adherence, and barrier removal.
• Conducts chart research and analysis to identify barriers to prescription regimens.
• Interacts with healthcare professionals of all levels involving member medications.
• Calls the pharmacy or provider to assist member with medication refills, medication synchronization, or 90-day supply requests.
• Provides feedback and/or solutions on how to improve the medication adherence member experience.
• Performs other job-related duties as assigned.

Qualifications

• Knowledge of medication adherence practices.
• Familiarity with State and federal regulations governing healthcare.
• Understanding of CMS 5 Star program and requirements.
• Medicare Advantage and /or medical practice experience preferred.
• Proficient in Microsoft Excel.
• Successful completion of Health Care Sanctions background check.
• Excellent verbal and written communication skills.
• Ability to work independently under stringent deadlines.