Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Job Description

The Medication Therapy Management (MTM) Service Specialist is responsible for receiving inbound and making outbound calls to qualified members across all lines of business to review the benefits of the MTM program. This position speaks with members to gather and document accurate information about the member and/or the members’ medications and related disease states using the MTM Program system and processes.

Responsibilities

• Receive inbound and make outbound calls to prescribers to resolve Drug Therapy opportunities
• Utilize Prime’s MTM process management system to record member and prescriber specific information
• Update member records by creating written communication of the clinical outcome utilizing the MTM and Smart Adherence platforms within specific turnaround times
• Perform outreach calls to pharmacies and prescriber’s offices related to the department process across multiple clients to obtain all necessary information related to Drug Therapy opportunities
• Manage work queue and volumes to meet internal and CMS specified turnaround times
• Other responsibilities as assigned

Education & Experience

• High School diploma from an accredited school or equivalent GED

• 1 year of work experience in customer serviceMust be eligible to work in the United States without need for work visa or residency sponsorship

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Has 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 empathy
• Strong verbal and written communication and problem-solving skills
• Strong organization skills with the ability to handle multiple tasks, prioritize and meet deadlines
• Proficient in Excel, Word, and system operations (e.g. workflow processes and case management)
• Government programs (Medicare) knowledge

Preferred Qualifications

• Contact Center experience
• Pharmacy and/or PBM experience
• 1 year of experience in healthcare industry
• Experience working with highly confidential medical information
• CPhT certification
• Fluency in another language (Spanish)

Physical Demands

• Ability to sit 6 or more hours per day
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Ability to work a flexible schedule including evenings, weekends, holidays, overtime
• Ability to work a set, pre-determined break and lunch schedule
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

This position is a HYBRID position and will require employee to be ONSITE at our headquarters in Eagan, MN.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.