Evolent health has a bold mission to change the health of the nation by changing the way health care is deliveredOur pursuit of this mission is the driving power that brings us to work each dayWe believe in embracing new ideas, testing ourselves and failing forwardWe respect and celebrate individual talents and team winsWe have fun while working hard and evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? absolutelyWe have seen about 30% average growth over the last three yearsAre we recognized? definitelyWe were named one of “becker’s 150 great places to work in healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important diversity and inclusion (d&i) efforts: evolent achieved a 95% score on its first-ever submission to the human rights campaign's corporate equality index; was named on the best companies for women to advance list 2020 by parity.org; and we publish an annual diversity and inclusion annual report to share our progress on how we’re building an equitable workplaceWe recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each dayIf you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a missionJoin a mission with a company behind it.
Clinical pharmacy coordinator
The evolent pharmacy team is looking for a highly motivated and energetic clinical pharmacy coordinator to join the pharmacy services teamWe are looking for team members that possess high-energy, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working for a collaborative, team-oriented system.
This position has primary responsibilities to the clinical pharmacy services team and may have other responsibilities supporting the managed care operations team as outlined below in the responsibilitiesThis position requires someone who is highly organized, detail-oriented, personable and able to adapt to a dynamic environment.
Care management collaboration (clinical pharmacy services)
Support medication therapy management (mtm) and pharmacy outreach programs (e.g., refill reminders and adherence calls) through telephonic patient outreach, communication with physician offices and accurate documentation processes Support the scheduling and delivery of pharmacist-led consultations and follow-up of patients with complex medical conditions Provide assistance to clinical pharmacy programs including collection of medication history data, drug information research, pharmacy care plan initiation and clinical guideline management under the guidance and direction of clinical pharmacists
Assist in development and execution of pharmacy-specific care management strategic and tactical plans including hedis measures and cms star rating improvement Maintain the confidentiality of protected patient medical information at all times
Patient care and provider support and coordination (managed care operations)
Serve as direct patient and provider contact for pharmacy benefit information, clinical determinations and program information Coordinate and triage all pharmacy inquiries received into our provider service and member service units (phone, fax, letter, electronic media)
Function as liaison and subject matter expert related to client pbm systems and processes most specifically related to drug utilization management, drug prior authorization and pharmacy claim adjudication Support and process patient submitted direct member reimbursement (dmr) claims and support the appeal and grievance process related to pharmacy clinical determinations Maintain the confidentiality of protected patient medical information at all times
Associate’s or bachelor’s degree Must demonstrate excellent interpersonal communication skills, including exceptional listening and communication skills Proficiency with microsoft office suite (word, excel, outlook) and ability to learn multiple work-related software applications
Currently, evolent employees work remotely temporarily due to covid-19As such, we require that all employees have the following technical capability at their home: high speed internet over 10 mbps and, specifically for all call center employees, the ability to plug in directly to the home internet routerThese at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
Clinical Pharmacy Coordinator
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