Key Details
- Assignment Type: Locum Tenens
- Setting: Outpatient Clinic
- Start Date: ASAP
- Schedule: Monday–Friday, 8:30 AM – 5:00 PM
- Patient Population: All Ages
- Location: Boston, MA
Benefits
- Weekly direct deposit
- Malpractice insurance with tail coverage
- Supportive credentialing assistance
- Lodging and mileage reimbursement (if applicable)
- Flexible scheduling
Job Responsibilities
- Conduct outreach to members and providers to support quality initiatives.
- Support programs and clinical best practices aimed at improving health outcomes, preventing hospital readmissions, and reducing medical errors.
- Coordinate daily activities such as claims reject reports review and transition monitoring.
- Draft and send provider communications to ensure medication access for members.
- Liaise with internal departments like appeals and grievances to provide timely and complete service.
- Educate other departments on Pharmacy processes as necessary.
- Resolve escalated inquiries related to prescription drug benefits.
- Support clinical pharmacy staff as needed.
Qualifications
- High School Diploma or GED required; Associate's degree preferred.
- Two or more years of experience in a professional setting required.
- Prior pharmacy experience is required; customer service and managed care experience preferred.
- Successful completion of a pre-employment background check.
Working Hours
- Regular and reliable attendance is essential.
Skills
- Strong oral and written communication skills.
- Ability to make sound business decisions based on established standards and guidelines.
- Effective teamwork capabilities.
- Organizing, multitasking, and deadline management skills.
- Proficiency in Microsoft Office products.
Work is generally performed in a typical office environment with no significant physical effort or risk involved.
