Location: Hybrid
Compensation: $23.46 - $29.27

Jump into the new world of health insurance:

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.

Join others who know diversity is strength:

We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.

Why this job matters:

Work in collaboration with the pharmacists to create a positive member experience, assisting the pharmacist by performing duties that do not require a pharmacist's professional judgement.

What you will do:

• Perform telephonic outreach to MTM eligible members educating them on the value of the MTM benefit and scheduling a comprehensive medication review with a local BCBSRI pharmacist.
• Conduct medication reconciliation to ensure the pharmacist has an accurate and up to date medication list for review.
• Verify the provider and pharmacy information for accuracy.
• Follow up with members at the direction of the pharmacist for disease state management and adherence monitoring.
• Triage internal requests to perform comprehensive medication reviews to available pharmacists.
• Respond to inquiries regarding Medication Therapy Management program.
• Facilitate correspondence between BCBSRI pharmacists and providers.
• Perform research on members who were unable to be contacted due to inaccurate contact information.
• Ensure that members who do not wish to participate in the program are properly documented and dis-enrolled.
• Participate in member education seminars, educating members on the importance of having an annual comprehensive medication review.
• Perform other duties as assigned.

What you need to succeed:

• High School Diploma, or an equivalent combination of education and experience.
• Licensed as a Certified Pharmacy Technician in the State of Rhode Island.
• Two to four years of experience as a pharmacy technician or related healthcare field.
• Knowledge of health insurance and benefits
• Must be detail oriented and able to accurately document all activities performed
• Excellent communication and customer service skills
• Proficient in Microsoft Word, Excel
• Able to multi-task in a fast paced environment
• Must be able to work independently
• Professionally interact with external healthcare professionals and BCBSRI internal staff
• Must be able to travel within State of Rhode Island
• Effectively communicate the importance of a comprehensive medication review to members

Extras:

• Experience working with OutcomesMTM platform
• Experience with Medicare Part D MTM program
• Ability to speak a second language with command of healthcare terminology, most notably Spanish or Portuguese

Location:

BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

• Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America