Devoted Health

Operations

• Assists with coordination and collaboration with the broader pharmacy team for additional support and services
• Establishes and maintains relationships with providers, medical directors, and network contacts for escalation of issues
• Engages with providers to coordinate appropriate testing, appointment scheduling, and prescription refills and renewals
• Help patients navigate their Devoted Health benefits
• Provides appointment and medication refill reminders
• Assists with pharmacy related questions and concerns and escalates to a clinician when appropriate
• Assists members with enrolling in financial assistance and clinical programs
• Assists with special projects as needed/required

Bilingual Pharmacy Care Coordinator – Clinical Pharmacy Operations

• Assists with coordination and collaboration with the broader clinical team for additional support and services
• Establishes and maintains relationships with providers, medical directors, and network contacts for escalation of issues
• Engages with providers to coordinate appropriate testing, appointment scheduling, and prescription refills and renewals.
• Provides appointment and medication refill reminders
• Provide counseling and follow-up on medications and appointments
• Assists with pharmacy related questions and concerns and provides triage to the appropriate escalation pathway
• Assists members with enrolling in special programs, such as medication co-pay assistance programs
• Assists with special projects as needed/required

Pharmacy Care Coordinator – Clinical Pharmacy Operations

Manager

• Develop deep understanding of the clinical data needs (e.g. medical records, lab results, ADT, etc.) and data usability requirements across Devoted Health Plans and Devoted Medical.
• Collaborate with and align on outcomes with stakeholders across a variety of teams including Network Management, Risk Adjustment, Stars, Devoted Medical, Payment Integrity, and others.
• Analyze clinical data availability across geographical areas to develop insights about data gaps, the reasons data is not available, and opportunities to obtain data.
• Using data insights, define an execution plan to ensure the broadest coverage of clinical data in the markets and ensure clinical data is usable by stakeholder teams.
• Implement technical integrations with Health Information Exchanges (HIEs), Labs, Electronic Health Record (EHR) systems, and other sources of clinical data and ensure quality of data received.
• Understand industry dynamics in order to consistently consider and vet new vendors or services that might improve our efficiency in obtaining and utilizing key clinical data.
• Explore and apply new processes and methodologies using AI to ensure clinical data is consistently available and usable by key stakeholders.
• Define, implement, and drive appropriate KPIs to measure success.

Manager, Clinical Data Acquisition

• Serve as a clinical subject matter expert in areas of clinical and provider related EHR considerations
• Participate in the Central Initiatives & workflow intake process to develop a monthly sprint plan of priorities in collaboration with product and DM operational leadership teams
• Develop training materials and socialization strategies in collaboration with Clinical Education
• Validate final workflow before training dissemination
• Facilitation of training to clinical frontline staff, trainers and leadership on new workflows as needed
• Provide guidance to team leads/trainers/managers to ensure implementation, documentation, and complete QA and user feedback after implementation
• Collaborate to quantify impact of cross functional implementation
• Work closely with service line trainers and super users to socialize upcoming workflow changes, act as a SME of cross functionally impacting initiatives and align where appropriate to execute roll outs successfully

Bilingual Pharmacy Care Coordinator – Clinical Pharmacy Operations

Pharmacy Care Coordinator – Clinical Pharmacy Operations

Manager, Clinical Data Acquisition

Manager, Clinical Implementation