Clinical Services Representative
Texas Health Institute
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Benefits offered by this job
Job summary
AlignRx in the United States seeks a Clinical Services Representative to support the Clinical Services department's pharmacy network efforts, helping networks engage in clinical programs and improve performance metrics. The role focuses on practice transformation from dispensing-only to combined dispensing and clinical services within the AlignRx Performance Network.
Responsibilities include outreach about payer program revenue opportunities, coaching on practice transformation, medical billing
Qualifications
- Bachelor's degree or equivalent experience.
- Pharmacist technician certification (CPhT) is required.
- Minimum 3 years in community pharmacy or healthcare-related field.
Responsibilities
- Provide outreach to pharmacies regarding payer program revenue opportunities.
- Compile barriers identified during outreach and support strategy development.
- Deliver practice transformation coaching using AlignRx tools and industry resources.
- Provide medical billing support and respond to inquiries.
- Enhance knowledge of pharmacy medical billing processes.
- Conduct clinical quality and performance reviews to optimize services.
- Train staff to maximize revenue from platforms like Outcomes and EQUIPP.
- Maintain familiarity with public health initiatives in pharmacy.
- Respond to inquiries to the Clinical Services team promptly.
- Monitor clinical program participation, performance, and revenue.
Skills
Education
Tools
Job description
AlignRx is a Public Benefit LLC (PBLLC) - a for-profit limited liability company that is intended to produce a public benefit and to operate in a sustainable manner. We are the only PSAO to establish itself as this type of legal entity, as we are deeply committed to promoting the interests of community pharmacies. You can count on us to be transparent, accountable, and passionate.
As an independently owned PSAO, we want community pharmacy owners to have maximum flexibility in their buy-side choices so they can maintain control over their business. AlignRx does not require pharmacy owners to purchase from a specific wholesaler or buying group. This benefit is just one more reason that community pharmacies experience peace of mind knowing our interests are in sync with theirs.
Our mission is to support community pharmacy by offering innovative products and services that are best in class and designed to promote the pharmacies we serve as essential healthcare providers resulting in improved patient care and outcomes.
The Clinical Services Representative supports the Clinical Services department’s community pharmacy support efforts to ensure AlignRx network pharmacies engage in clinical programs and improve clinical performance metrics. The position requires experience and expertise with supporting pharmacy practice transformation, moving pharmacies from just providing traditional dispensing-related services to effectively providing both dispensing and clinical services. The Clinical Services Representative plays a key role in the ongoing implementation and support of the AlignRx Performance Network.
- Conduct outreach to pharmacies regarding payer program revenue opportunities, supporting achievement of defined completion goals.
- Compile and maintain listing of barriers identified during pharmacy outreach and present to department team members to support ongoing strategy development.
- Provide practice transformation coaching to pharmacies using online tools and resources developed by AlignRx and other industry resources, as needed.
- Provide medical billing support to pharmacies, responding to medical billing inquiries and troubleshooting issues.
- Enhance pharmacy medical billing knowledge and expertise.
- Conduct pharmacy clinical quality and performance reviews for the purpose of clinical service optimization and pay-for-performance revenue enhancement.
- Train and educate pharmacy staff on how to maximize revenue from platforms such as Outcomes, MedMonitor and EQUIPP, and other payor clinical program opportunities.
- Maintain a familiarity with public health institutions and initiatives (e.g., Community Health Workers in the pharmacy setting).
- Respond to pharmacy inquiries to the Clinical Services team in a timely manner.
- Support the monitoring of clinical program participation, performance, and revenue earned.
Additional responsibilities as determined by senior leadership.
Education:Bachelor's degree (or equivalent experience)
Certification:Certified Pharmacy Technician (CPhT)
Experience:Minimum of 3 years of experience in community pharmacy or healthcare-related field
Experience in independent community pharmacy (e.g., working in a pharmacy, for an independent pharmacy-related organization)
Familiarity with pharmacy platforms such as Outcomes and EQUIPP
- Strong sense of customer service
- Working experience and knowledge of pharmacy operations
- Knowledge of Medicare Part D
- Working knowledge of medical billing processes, continually developing expertise
- Knowledge of Community Health Work in pharmacy
- Strong oral and written communication skills
- Strong follow-through on projects and deliverables
- Flexible with the ability to accept change in job functions/responsibilities
- Ability to work collaboratively in a team environment including with other internal departments
- Knowledge of digital file management (e.g., SharePoint, OneDrive), use of cloud-based software including Microsoft Excel, Word, PowerPoint, Outlook, Teams
- Ability to work remotely
- Maintaining remote working conditions in compliance with company policy and procedures
- Direct reports-none
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
NOTE: The above statements are intended to describe the general nature and level of work performed by an employee in this position. These statements are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of employees in this position.
AlignRx is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate unique differences of our employees, knowing diversity drives innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by applicable laws or regulations.
- Education: Bachelor's (Preferred)
- Experience: Community pharmacy or healthcare-related field: 3 years (Required)
- License/Certification: Pharmacy Technician Certification (Required)
- Work Location: Remote
- Education: Bachelor's degree (or equivalent experience)
- Certification: Certified Pharmacy Technician (CPhT)
- Experience: Minimum of 3 years of experience in community pharmacy or healthcare-related field
- Experience in independent community pharmacy (e.g., working in a pharmacy, for an independent pharmacy-related organization)
- Familiarity with pharmacy platforms such as Outcomes and EQUIPP
- Strong sense of customer service
- Working experience and knowledge of pharmacy operations
- Knowledge of Medicare Part D
- Working knowledge of medical billing processes, continually developing expertise
- Knowledge of Community Health Work in pharmacy
- Strong oral and written communication skills
- Strong follow-through on projects and deliverables
- Flexible with the ability to accept change in job functions/responsibilities
- Ability to work collaboratively in a team environment including with other internal departments
- Knowledge of digital file management (e.g., SharePoint, OneDrive), use of cloud-based software including Microsoft Excel, Word, PowerPoint, Outlook, Teams
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