[Remote] Service Specialist Technician - MTM

Note: The job is a remote job and is open to candidates in USA. Prime Therapeutics is a unique pharmacy benefit manager with a purpose beyond profits. They are seeking a Medication Therapy Management (MTM) Service Specialist Technician responsible for handling inbound and outbound calls to qualified members, gathering information about their medications, and ensuring compliance with MTM program processes.ResponsibilitiesReceive inbound and make outbound calls to eligible beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliantUtilize Prime’s MTM process management system to record member specific informationAssess beneficiary information to ensure appropriate interaction is scheduled with appropriate MTM clinician (i.e., Pharmacist)Perform outreach calls to pharmacies to research contact informationAddress and triage queries regarding MTM related topics by transferring calls to MTM staff or other department help linesDocument MTM eligibility and program status in the applicable software systems (i.e., MSA Toolbox, RX Claim)Other responsibilities as assignedSkillsHigh School Diploma or GED requiredMust be eligible to work in the United States without the need for work visa or residency sponsorshipHas suitable home office (i.e., chair, desk, internet, etc.) that meet Prime required standards (if work from home position)Strong interpersonal communication skills with focus on professional demeanor and empathyStrong verbal and written communication and problem-solving skillsStrong organization skills with the ability to handle multiple tasks, prioritize and meet deadlinesProficient in Excel, Word, and system operations (e.g. workflow processes and case management)Government programs (Medicare) knowledgeContact Center experiencePharmacy and/or PBM experience1 year of experience in healthcare industryExperience working with highly confidential medical informationCPhT certificationFluency in another language (Spanish)Company OverviewPrime Therapeutics is a trusted pharmacy solutions partner delivering savings, simplicity & support to our customers and members It was founded in 1990, and is headquartered in Eagan, Minnesota, USA, with a workforce of 5001-10000 employees. Its website is https://www.primetherapeutics.com/.



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