Job ID: J125719
Company: Gateway Health Plan
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Jun 21, 2018
This job will assist with the strategy, program development and collaboration of the Gateway departments working on HEDIS pharmacy gap closure, as well as, performance management for external vendors assisting with these efforts. The incumbent educates teams and monitors key controls in keeping track of CMS requirements and educating stakeholders regarding pharmacy quality measures. The incumbent will also participate in program implementation and provider performance management which is tracked by provider metrics, inclusive minimally of 4 STAR gap closure, Part D measures, Medicaid Pay for Performance measures and improved quality. Works with other departments in pharmacy, as well as, quality and compliance to identify performance improvement opportunities through analysis and discussion.
SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?
Is Travel Required?
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
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