The Program Specialist is responsible for the operational execution of the Workers Compensation and Personal Injury program throughout all assigned locations. This position ensures programs remain compliant and operate to maximum efficiency.
Essential Duties and Responsibilities:
Calculates and maintains medication orders and par levels, using the designated reporting system, according to practice needs based on a three-month trending pattern.
Reconciles any discrepancies within the pharmacy and notifies supervisor.
Identifies patients that are eligible for the dispensing program.
Encourages staff to promote the benefits of pharmacy dispenses “in-house” for both patients and the practice.
Communicates supervisor to review any pharmacy updates or pertinent changes. Reports applicable changes/updates to supervisor.
Ensures all pharmacy logs are up to date and that all prescriptions dispensed in office are on file.
Ensures that each pharmacy is prepared for all State and DEA audits and that office managers are trained for audits.
Understands pharmacy revenue reports regularly with business owners to determine opportunities for growth.
Attends bi-monthly meetings with both physician and pharmacy account manager to review any litigated claims.
Communicates tasks related to program implementation in any new locations to ensure a smooth program upstart.
Maintains all databases related to workers comp and PIP, as requested.
Communicates with office staff and management information related to the ancillary services and helps develop manageable workflows.
Ensures compliance of a variety of feedback processes to enable maximum potential to be met.
Anticipates, addresses, and corrects obstacles and issues that adversely impact workflows and business results.
Follows all clinical and non-clinical aspects of the pharmacy, including dispensing, inventory and ordering, policies and procedures.
Provides input on marketing materials, advertising and promotional activities as to effectiveness and receptivity from referral sources.
Works with internal staff to gain a comfortable working knowledge of the various conditions we treat, and therapeutic treatments we offer.
Networks with internal sources to continuously improve operational knowledge, skills and abilities.
Checks work e-mail on a regular basis throughout the workday
Participate in and complete all required trainings and in-services
Other duties as assigned
Minimum Qualifications:
At least two (2) years of related experience in a healthcare setting.
Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
Must have a working knowledge of industry’s legal rules and guidelines
Must have in-depth knowledge of diverse business functions and principles (e.g. supply chain, finance, customer service, etc.)
Must have a working knowledge of data analysis and operations metrics
Must have excellent written and oral communication skills.
Must be able to work individually as well as within a team.
Must be able to multi-task and prioritize.
Must demonstrate extreme attention to detail.
Must possess strong organization skills.
Must be able to perform calculations, problem solve and use reasoning.
Must have knowledge of medical practices and medical terminology.
Must be able to meet predefined production and quality standards.
All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.
Driving/Travel:
The employee must have reliable transportation. Travel for this position will be required up to 100%. While the primary workplace may be closest to the employee’s home, work assignments could be in any of the Company’s locations.
Numbers & Facts
Location
Pensacola, FL
Skills
Communication Skillsunmatched
Continuous Improvementunmatched
Customer Support/Serviceunmatched
Data Analysisunmatched
Database Administrationunmatched
Detail Orientedunmatched
Establish Prioritiesunmatched
Financeunmatched
Healthcareunmatched
Legalunmatched
Litigationunmatched
Maintain Complianceunmatched
Medical Terminologyunmatched
Medicationsunmatched
Metricsunmatched
Microsoft Excelunmatched
Microsoft Officeunmatched
Microsoft Outlookunmatched
Microsoft PowerPointunmatched
Microsoft Wordunmatched
Multitaskingunmatched
Office Managementunmatched
Operational Auditunmatched
Operational Improvementunmatched
Organizational Skillsunmatched
Patient Careunmatched
People Managementunmatched
Personal Injuryunmatched
Pharmacyunmatched
Prescription Fillingunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Quality Metricsunmatched
Reconciliationunmatched
Regulationsunmatched
Revenue/Sales Reportingunmatched
Sales Managementunmatched
Supply Chainunmatched
United States Drug Enforcement Agency (DEA)unmatched
Worker's Compensationunmatched
Writing Skillsunmatched
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