Medicare STARS & CAHPS Pharmacy Technician

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview:

Empower. Unite. Care.

MetroPlusHealthis committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

The Medicare STARS & CAHPS Pharmacy Technician will support the Medicare Pharmacy Operations Manager in enhancing Medicare Star Ratings and CAHPS results through member, pharmacy and provider outreach to coordinate care and address and health benefit inquiries.

• Member, pharmacy and provider outreach calls to ensure timely refills and medication adherence.
• Member, pharmacy and provider outreach calls to effectively bridge gaps resulting in medication access concerns
• Assist in correcting pharmacy billing errors
• Work collaboratively with various departments to address any member, provider or pharmacy concerns
• Participate in program audits and meetings to improve Medicare Star ratings.
• Provide high-level, member-focused customer service.
• Identify and recommend program enhancements to increase member engagement.
• Supports departmental quality initiatives

• Associate's degree with 3 years' experience as a Pharmacy Technician, preferred
• High school diploma/GED with 5 years' experience as a Pharmacy Technician, required
• 2 years of relevant experience in managed care, preferred
• Knowledge of CMS Stars, HEDIS, CAHPS, Drug Adherence and Member Experience, preferred
• Experience with Medicare, Medicare Advantage and/or Medicare Part D, required
• Experience with Microsoft Excel, Word and Powerpoint, required
• Position requires excellent organizational, teamwork, interpersonal, time management, written and verbal communication skills

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical Skills
• Written/Oral Communications