Overview:The Accreditation Analyst is responsible for numerous workflows involved in establishing and maintaining specialty pharmacy accreditations on behalf of each partnering health system.

Key Responsibilities

• Play a key role in the assessment and fulfillment of clinical and operational reporting requirements mandated by accreditors;
• Participate in the preparation and submission of applications related to accreditation access on behalf of Shields partners;
• Conduct primary and secondary research in support of data needs for the accreditation process; with a focus on URAC and ACHC specialty pharmacy standards;
• Aggregation of data for Quality Management Committees and Quality Management Program activities such as Quality Improvement Projects (QIPs) and collection of Performance Indicator (PI) data, using a variety of software, system reports, and other tools;
• Analyze and prepare data, including recognizing discrepancies, errors, duplications, etc.;
• Support workstreams related to accreditation data aggregation for QMC meeting minutes and any other requested data needs;
• Independently manage data from numerous workstreams related to accreditation purposes;
• Assist Accreditation teammates in providing exceptional and timely customer service to our partners on all matters related to accreditation data;
• Identify solutions to non-standard requests and problems;
• Willingness to do whatever is necessary for the betterment of the Company;
• Protect organization's value by keeping information confidential;
• Other duties as assigned

Education & Experience

• Bachelor’s degree or equivalent experience
• 1-3 years experience with data analytics
• Proficiency in Excel, Smartsheets, Outlook, Adobe, Word, and other Microsoft tools
• Experience with data aggregation and presentation of data
• Ability to communicate results in a clear and concise manner via Excel tables, email communication, and PowerPoint slides
• Exceptionally organized and data driven
• Comfortable and successful handling numerous concurrent work streams
• Preferred: Project management and/or, healthcare contracting experience; clinical, pharmacy, 340B, or specialty pharmacy accreditation
• Traits: Organized, high-integrity, strict attention to detail, dependable, quality focus, empathetic, good listener/communicator, self-motivated
• Other: Energetic, highly motivated, team player, extreme discretion and confidentiality are essential as this position deals with highly sensitive and private data in a HIPAA compliant environment

The Pharmacy Refill Technician will provide integrated support to pharmacy staff and Shields Health Solutions Liaisons by providing a 'hands-on" approach to ensuring accurate and timely filling and delivery of specialty medications. This role will work closely with health system pharmacy staff and Shields liaisons by emphasizing accurate workflows and leveraging technology to support optimal patient care and efficient operations.  Individual will be responsible for placing outbound calls to patients and assisting them through the entire refill process as well as receiving inbound pharmacy phone calls. 

Job Duties:

• Always show kindness and compassion while providing knowledgeable and courteous assistance to patients, providers and pharmacy team members.
• Make assigned outbound patient refill phone calls and complete the patient refill requests in a timely manner.
• Answer, resolve and triage inbound inquiries appropriately.
• Clarify prescription orders with pharmacist and/or clinician as appropriate.
• Proactively coordinate medication refills including data entry and ensuring correct days supply is entered for all fills.
• Following through with claim adjudication and troubleshooting and reject codes.
• Partnering with pharmacy to ensure proper in-stock of medications.
• Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication.
• Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids.
• Properly discontinuing patients off service when appropriate.
• Documenting work appropriately across all systems.
• Manage, organize, and update relevant data using database applications.
• Other duties that facilitate patient access to medications as assigned
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
• Identify trends, resolve problems, recommend improvements, implement change.
• Actively participate in process improvement initiatives.
• Act as a value-added business partner to stakeholders throughout the organization.
• Protect organization's value by keeping information confidential.
• Maintain updated knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations.

Skills: strong interpersonal communication skills, strong phone skills, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other programs and able to extract relevant information; strong organizational skills a must. 

Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator.

Other: energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data.

Experience/ Education:

• Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.
  
  
• Years of Experience: Required: 1+ years, Preferred: 5-8 years of experience as a Pharmacy Technician. Experience working with physicians, nurses, and other healthcare professionals (preferably in a medical clinic) is a plus.
  
  

• Education:High school diploma or GED required