Bilingual Pharmacy Care Coordinator - Clinical Pharmacy Operations

Job Description

A bit about this role:

Devoted Medical is building clinical programs to manage and coordinate care in a manner consistent with Devoted’s values of treating every member like family. Medication plays a crucial role in helping people manage chronic conditions, but in many cases effective medication management is limited by barriers to access, uncoordinated prescribing, or a failure to use the most effective evidence-based medication therapies. For example, despite a mountain of evidence, less than 1 in 10 people with congestive heart failure (CHF) are prescribed evidence-based medications proven to save lives and prevent hospitalizations.

Devoted’s clinical pharmacy team aims to support improved therapeutics for Devoted members. It supports this work in three ways:

• Conducting medication reviews (via direct member engagement and via pharmacist consult support for other clinicians)

• Virtual pharmacist-led care via telemedicine to close therapy gaps

• Coordinating care for changes in therapy by counseling members and engaging prescribers and pharmacies

This work is done in service of a number of goals. The clinical pharmacy team drives Devoted’s quality and Medicare Stars performance on medication adherence, blood pressure control, statin use, and other quality measures, and also plays a critical role in care teams for other clinical programs (such as our Intensive Home Care program, our Diabetes and CHF programs, and our Transition of Care program). Pharmacist consults help our clinical teams reduce polypharmacy issues and improve evidence-driven medical therapy.

Examples of these interventions include:

• Conducting comprehensive and targeted medication reviews

• Identifying and closing statin therapy gaps via a pharmacist-led telemedicine intervention

• Driving medication adherence for diabetes, hypertension, and cholesterol management

• Performing consults for complex care teams to help address polypharmacy issues

• Coordinating appropriate screening and testing for therapeutic drug monitoring and detection/prevention of future bad outcomes

As a pharmacy care coordinator in this role, you will partner with our Clinical Pharmacy and Operations teams to assist in outreach, coordination, and follow-up to ensure that we are assisting the team and providing best in class care to our members. You will be part of a mission-driven, team-oriented, joyful culture amongst the broader pharmacy team who care for our members.

Responsibilities and Impact will include:

• Assists with coordination and collaboration with the broader pharmacy team for additional support and services

• Establishes and maintains relationships with providers, medical directors, and network contacts for escalation of issues

• Engages with providers to coordinate appropriate testing, appointment scheduling, and prescription refills and renewals

• Help patients navigate their Devoted Health benefits

• Provides appointment and medication refill reminders Assists with pharmacy related questions and concerns and escalates to a clinician when appropriate

• Assists members with enrolling in financial assistance and clinical programs

• Assists with special projects as needed/required

The Pharmacy Care Coordinator, Clinical Pharmacy Operations will report to the Manager, Clinical Pharmacy Operations at Devoted Medical. The Manager will work in conjunction to support all operational activities associated with the Clinical Pharmacy team.

Required skills and experience: 

• Bilingual in Spanish/English

• At least 3 years of work experience in a health care setting, pharmacy a plus

• Nationally Certified Pharmacy Technician strongly preferred

• Experience with Medicare Part D operations (e.g. pharmacy help desk, utilization management, formulary management)

• Experience with pharmacy-related quality assurance (QA) work is strongly preferred (examples of pharmacy-related QA include performing medication reconciliation following hospital discharge and coordinating prescription refill programs

Desired skills and experience: 

• Highly organized and detail-driven

• Adaptable and flexible, wi