Medical Review Institute of America, LLC · 6 hours ago
Pharmacy Completion Analyst (Fully Remote)
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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
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Required
Minimum of 1 year of Pharmacy experience
Ability to work in a fast-paced and high-functioning environment and meet deadlines while managing multiple high-priorities
Ability to work independently with minimal supervision
Personal computer literacy and high competency in the use of Microsoft Office
Strong organizational skills with strong attention to detail
Excellent critical thinking capabilities
Strong oral and written communication skills
Outstanding customer service skills
High school diploma or equivalent
Benefits
Healthcare
Vision and dental insurance
Generous 401k match
Paid vacation
Personal time
Holidays
Company
Medical Review Institute of America, LLC
Medical Review Institute of America, LLC (MRIoA) was incorporated in 1983.