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Evolent Health Clinical Pharmacy Technician in Arlington, Virginia

It’s Time For A Change… Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely about 40% in year-over-year revenue growth in 2018 . Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and One of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Evolent Health offers the first provider-led, fully integrated platform for population and health plan management to leading health systems. Evolent will partner with these health systems to implement Identifi, its population information platform, which will enable their partners to deeply understand the health needs of the populations they serve, create targeted offerings to meet these needs, and build the network and health plan support to deliver such offerings. Evolent’s capabilities, assets, management team, and founder partnerships allow them to provide their health system partners with a unique offering – one that is both provider-led and proven to work.

The Evolent pharmacy team is looking for a highly motivated and energetic Clinical Pharmacy Specialist to join the Pharmacy Services team. This position is based in Arlington, VA. We 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 in the clinical pharmacy services team and may have other responsibilities supporting the managed care operations team as outlined below in the Responsibilities. This position requires someone who is highly organized, detail-oriented, personable and able to adapt to a dynamic environment.

Responsibilities

Care Management Collaboration (Clinical Pharmacy Services)

  • 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

  • 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

  • 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

Required Qualifications

  • 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

Preferred Qualifications

  • Certified Pharmacy Technician (CPhT)

  • Licensed practical nurse (LPN) or medical assistant (MA) a plus

  • 2 years of practice experience in health plan, PBM, pharmacy or health care practice

  • Ability to connect with people

  • Bilingual a plus

Skills and Behavioral Attributes

  • Ability to work independently and solve problems in a fast-paced, quickly changing environment

  • Strong organizational and prioritization skills

  • Strong customer focus with commitment to providing excellent customer service

  • Ability to adapt to a changing environment including scheduling flexibility with the ability to work evening and weekend hours

  • Committed to team-oriented virtual work environment

  • Strong work ethic built on a foundation of proactively seeking opportunities to learn and grow

  • Analytic approach with the capability to assist in transforming data & trends into actionable insight

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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