Your career starts now. We’re looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com **Responsibilities:** + Work directly with Members, pharmacies, and Providers to assess medication adherence patterns, identify factors contributing to non-adherence, and support the medication adherence program; + Coordinate adherence strategies to meet Member needs, including transitioning Members to 100-day & mail order prescriptions + Sync medications to refill at the same time + Provide refill reminders for Members and caregivers + Educate Members on the importance of medications + Collaborate with Members and pharmacies to ensure medications are picked up and taken as directed; + Engage with Providers to coordinate prescription refills and renewals + Engage with pharmacies to coordinate prescription fulfillment + Proactively identify Members who may be at risk for medication non-adherence + Serve as a Care Team resource for medication-related inquiries pertaining to formulary tiers, prior authorizations, formulary exceptions, and cost-sharing + Document Member care activities in the Electronic Medical Record (EMR) to track clinical pharmacy interventions and oversight responsibilities; + Reconnect Members with the Primary Care Team, if necessary, to help coordinate the completion of their quality health maintenance + Work efficiently with multiple Providers and provide remote coverage of other markets as assigned; + Continuously learn and adapt workflows to improve Member care; + Assist with other Member care and quality initiatives as needed to promote positive health outcomes and support our healthcare team + Other duties as assigned by the Quality Pharmacy Manager **Education/Experience:;** + High School Diploma or equivalent required + Associate’s Degree preferred + Active/current National Pharmacy Technician Certification (NHA or PTCB) **required** + **Requires:** + Minimum **three (3) years** experience in Medicare Part D pharmacy and/or Quality/STARS Measures and/or a managed care pharmacy setting + Current/recent relevant experience at an appropriate level of independence, complexity, and authority in managed care or healthcare environment + Proficient in Microsoft Excel + Proficient in Tableau preferred **Diversity, Equity, and Inclusion** At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. **Our Comprehensive Benefits Package** Flexible work solutions include remote options, hybrid work schedules, competitive pay, Paid Time Off (PTO), including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.