Scripta’s portfolio of merchandise use information analytics to evaluation pharmacy profit transactions permitting for higher choice making each on the company degree and on the worker degree. The result’s that self-insured employers, and staff lower your expenses on their pharmacy advantages each transaction, each day. Assist us change the principles of healthcare and create the longer term! Assist us outpace different innovators in healthcare to ship higher care to sufferers, lower value and enhance inhabitants well being.
The Medical Advocate will work carefully with our member advocates and different varied groups throughout Scripta. This contains however is just not restricted to: Account Administration, Enterprise Operations, Advertising and marketing, Gross sales, and the Medical Insights Staff. This addition to Scripta may have top-notch communication and customer support expertise, an exceedingly nice telephone method and the power to work as a staff. This individual will be capable to work independently and with little oversight of their day-to-day actions, whereas sustaining a excessive diploma of professionalism. The Medical Advocate should have the power to critically assume and assess members based mostly on information (claims and eligibility) supplied and really feel comfy with outreach to members to have interaction in dialogue to enhance outcomes based mostly on pharmacy utilization.
Important Duties and Main Obligations:
- Member communications: Provoke and/or reply to member-initiated outreach and engagement by way of telephone, electronic mail, or on-line chat.
- Present acceptable schooling and reply questions on Scripta, Scripta’s functions and member’s remedy utilization
- Consider wants of members and purchasers and be capable to present value saving remedy options (recognized by Scripta software program).
- Establish neighborhood assets as acceptable to help in general discount of remedy prices
- Produce prime quality documentation on an ongoing foundation
- Reply incoming telephone calls and reside chats with Member Success staff – to be a shared duty with the Member Advocates
- Present suggestions to ancillary groups inside Scripta in addition to purchasers on member engagement and wishes based mostly on engagement and claims evaluation
- Perform telephonic outreach for focused member campaigns to extend member consciousness of financial savings alternatives.
- This function will function level of escalation and shift lead, after commonplace enterprise hours or when the Supervisor of Member Success is unavailable.
- Should possess each verbal and written communication expertise in English and Spanish.
- Full Particular Tasks as assigned
- Preserve HIPAA compliance via every day efficiency
- All different duties as assigned. This job description is just not designed to cowl or comprise a complete itemizing of actions, duties or tasks which can be required of the worker for this job. Duties, tasks and actions could change at any time with or with out discover.
- Availability: 1pm – 10pm Jap Time
- Bi-lingual: English and Spanish except exempt when employed.
- Communication: Glorious listening, verbal, and written communication expertise
- Means to prioritize and arrange massive volumes of labor
- Self-motivated and self-starter
- Glorious customer support expertise – have to be MEMBER OBSESSED!
- Proficient in navigating web in addition to a number of working techniques and functions
- Compliance: Should perceive HIPAA requirements and maintain privateness within the highest regard when participating with members and purchasers
- Drawback Fixing: Identifies wants and takes unbiased motion to implement change when and the place it’s wanted; outcomes pushed.
Training- should meet one of many following:
- Bachelor’s Diploma (Most well-liked) or completion of equal secondary degree nursing schooling and is a licensed Registered Nurse (RN) with 2 or extra years of scientific expertise or was a beforehand licensed RN with no historical past of revocation, voluntary give up, advantageous or civil penalty, or exclusion from authorities payer applications inside the final 5 years, and with 5 years of acute scientific expertise.
- B.S. Pharm or PharmD and is at the moment licensed within the US.
- Licensed Sensible Nurse (LPN) with 5 or extra years of expertise in acute scientific or doctor observe setting.
Expertise
- Expertise working remotely in healthcare/insurance coverage/pharmaceutical business, Most well-liked.
- Pharmacist should have expertise working in retail pharmacy, 2 years minimal
- Case Administration Expertise, Most well-liked
- Pharmacy Profit Supervisor (PBM) Business Data Most well-liked
- Self-Funded Insurance coverage Expertise Most well-liked
- Expertise and competency utilizing Microsoft / Google suite of workplace merchandise together with Excel/Sheets, Required
- Expertise in using varied computerized documentation instruments to seize consumer interactions and accessing member detailed info, Required
Disclaimer: Variety creates a more healthy environment: Scripta Insights is an Equal Employment Alternative/Affirmative Motion Employer, and all certified candidates will obtain consideration for employment with out regard to race, shade, faith, intercourse, age, nationwide origin, protected veteran standing,
incapacity standing, sexual orientation, gender identification or expression, marital standing, genetic info, or every other attribute protected by regulation. Unbiased contractors don’t have any specified contract time period and might be terminated at will.