Medical Review Institute of America, LLC · 9 hours ago

Pharmacy Completion Analyst (Fully Remote)

Salt Lake City, UT

Full-time

Remote

Entry Level

1+ years exp

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Health CareManagement Consulting

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Responsibilities

Finalize the pharmacy case review process and issue review outcome notifications to the appropriate parties of the case.

Serve as a company liaison with clients, Reviewers, and practitioners/providers/facilities whose services are subject to review.

Evaluate opinions submitted by Reviewers upon conclusion of their reviews for compliance with company standards for completeness.

Follow-up with Reviewers whose submitted opinions do not meet all compliance standards.

Issue oral and written review outcome notifications that comply with standards and requirements for timeliness, content, recipients, and accuracy, including written notification grammar and spelling.

Upload completed decisions into client portals in a timely and appropriate manner.

Research clients’ questions about review processes and/or Reviewer decisions.

Determine the need for additional information or additional review and notify the client and internal departments of these needs.

Provide backup support to staff in other areas as applicable.

Support all Quality Management initiatives.

Actively participate in the Complaint Process and Provider Relations Assessment process.

Support all Compliance Program activities.

Participate in all company meetings and committees as requested.

Maintain a flexible schedule to meet client needs.

Adapt to differences of clients.

Adhere to all policies and procedures.

Take feedback and responsibility for performance.

Complete other duties and responsibilities as directed.

Monitor and track out-of-production tasks and hours.

Adapts to the differences between clients.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Pharmacy experienceMicrosoft OfficeCustomer service skillsManage multiple priorities