Careers


 

Job Description

 

Reports to:         Designated Market Lead

Status:                  Full-Time/Exempt

Location:             Dallas, TX

 

Position Summary:

This position serves as an integral member of the Quality and Provider Relations Team and reports to the designated Market Lead of Employer (IPA).  This role is a key contributor to the training of providers and their staff on HEDIS and GPRO measures and is accountable for all providers achieving a minimum of 4-STAR for HEDIS and 95% quality for GPRO as well as other duties as assigned by the Market Lead. This is a field position requiring travel to doctors’ offices regularly.

Responsibilities:

  • Advises and educates providers and their staff in the appropriate documentation of HEDIS and GPRO measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
  • Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement.
  • Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
  • Delivers provider specific metrics and coaches Providers on gap closing opportunities.
  • Identifies specific practice needs where IntegraNet Health can provide support.
  • Leads and/or supports collaborative business partnerships, promote client understanding and insight to advise and make recommendations.
  • Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education.
  • Provides resources and educational opportunities to provider and staff.
  • Captures concerns and issues in action plans as agreed upon by provider and in formats approved by IPA.
  • Documents action plans and details of visits and outcomes and reports critical incidents and information regarding quality of care issues.
  • Communicates with external data sources as authorized to gather data necessary to measure identified outcomes.
  • Provides IPA approved communication such as newsletter articles, member education, outreach interventions and provider education.
  • Supports Provider office-based quality improvement and program studies as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.
  • Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements.
  • Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline.
  • Participates in and represents IPA at community, health department, collaborative and other organizational meetings focusing on quality improvement, member education, and disparity programs, as assigned.
  •  Works with office-based staff to ensure accuracy in medical records for data collection, data entry and reporting. Enters documentation of findings in identified databases.
  • Performs other duties as assigned.

Qualifications:

  • Licensed Vocational Nurse (LVN) or Licensed Registered Nurse (RN)
  • 5+ years working with HEDIS and GPRO with an IPA or health plan in a senior role.
  • Knowledge of computer systems and applications.  Skill in planning, organizing, prioritizing, delegating and supervising. 
  • Skill in exercising initiative, judgment, problem-solving, decision-making. 
  • Skill in identifying and resolving problems. 
  • Ability to anticipate and react calmly in emergency situations. 
  • Skill in developing and maintaining effective relationships with medical and administrative staff, patients and the public. 
  • Skill in developing comprehensive reports. 
  • Ability to analyze and interpret complex data. 
  • Skill in developing and maintaining office-based quality improvement.   
  • Excellent and effective written and verbal communication skills. 

 

Company Benefits:

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

  • Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
  • Employer funded HSA program.
  • Paid Time Off ranging from 5-28 days depending on length of service.
  • Profit Sharing Bonus Program
  • 100% Employer Paid Pension Plan after 5 years
  • Employer Sponsored Wellness Program with access to company gym and locker rooms in Houston offices, if applicable.
Apply Now

 

Reports to:         Designated Market Lead

Status:                  Full-Time/Exempt

Location:             Houston, TX

 

Position Summary:

This position serves as an integral member of the Quality and Provider Relations Team and reports to the designated Market Lead of Employer (IPA).  This role is a key contributor to the training of providers and their staff on HEDIS and GPRO measures and is accountable for all providers achieving a minimum of 4-STAR for HEDIS and 95% quality for GPRO as well as other duties as assigned by the Market Lead. This is a field position requiring travel to doctors’ offices regularly.

 

Responsibilities:

  • Advises and educates providers and their staff in the appropriate documentation of HEDIS and GPRO measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
  • Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement.
  • Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
  • Delivers provider specific metrics and coaches Providers on gap closing opportunities.
  • Identifies specific practice needs where IntegraNet Health can provide support.
  • Leads and/or supports collaborative business partnerships, promote client understanding and insight to advise and make recommendations.
  • Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education.
  • Provides resources and educational opportunities to provider and staff.
  • Captures concerns and issues in action plans as agreed upon by provider and in formats approved by IPA.
  • Documents action plans and details of visits and outcomes and reports critical incidents and information regarding quality of care issues.
  • Communicates with external data sources as authorized to gather data necessary to measure identified outcomes.
  • Provides IPA approved communication such as newsletter articles, member education, outreach interventions and provider education.
  • Supports Provider office-based quality improvement and program studies as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.
  • Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements.
  • Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline.
  • Participates in and represents IPA at community, health department, collaborative and other organizational meetings focusing on quality improvement, member education, and disparity programs, as assigned.
  •  Works with office-based staff to ensure accuracy in medical records for data collection, data entry and reporting. Enters documentation of findings in identified databases.
  • Performs other duties as assigned.

Qualifications:

  • Licensed Vocational Nurse (LVN) or Licensed Registered Nurse (RN)
  • 5+ years working with HEDIS and GPRO with an IPA or health plan in a senior role.
  • Knowledge of computer systems and applications.  Skill in planning, organizing, prioritizing, delegating and supervising. 
  • Skill in exercising initiative, judgment, problem-solving, decision-making. 
  • Skill in identifying and resolving problems. 
  • Ability to anticipate and react calmly in emergency situations. 
  • Skill in developing and maintaining effective relationships with medical and administrative staff, patients and the public. 
  • Skill in developing comprehensive reports. 
  • Ability to analyze and interpret complex data. 
  • Skill in developing and maintaining office-based quality improvement.   
  • Excellent and effective written and verbal communication skills. 

Company Benefits:

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

  • Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
  • Employer funded HSA program.
  • Paid Time Off ranging from 5-28 days depending on length of service.
  • Profit Sharing Bonus Program
  • 100% Employer Paid Pension Plan after 5 years
  • Employer Sponsored Wellness Program with access to company gym and locker rooms in Houston offices, if applicable.
Apply Now

Reports to: the COO

Enhances executive's effectiveness by providing information management support; representing the executive to others.

 

General Job Duties:

  • Produces information by transcribing, formatting, inputting, editing, retrieving, copying, and transmitting text, data, and graphics.
  • Conserves executive's time by reading, researching, and routing correspondence; drafting letters and documents; collecting and analyzing information; initiating telecommunications.
  • Maintains executive's appointment schedule by planning and scheduling meetings, conferences, teleconferences, and travel.
  • Uses company travel and meeting tools. Follows policies and procedures to make travel/meeting arrangements. Confirms details and creates itineraries.
  • Proactively develops relationships with key internal/external client contacts, gains recognition as a team resource.
  • Welcomes guests and customers by greeting them, in person or on the telephone; answering or directing inquiries.
  • Maintains customer confidence and protects operations by keeping information confidential.
  • Completes projects and if necessary, assigns work to clerical staff; following up on results.
  • Prepares reports by collecting and analyzing information.
  • Provides historical reference by developing and utilizing filing and retrieval systems; takes minutes of major meeting discussions.
  • Assists office manager in maintaining office supply inventory by checking stock to determine inventory level; anticipates needed supplies; evaluates new office products; places and expedites orders for supplies; verifies receipt of supplies.
  • Assists Office Manager to ensure operation of equipment by completing preventive maintenance requirements; follows manufacturer's instructions; troubleshoots malfunctions; calls for repairs; maintains equipment inventories; evaluates new equipment and techniques.
  • Maintains professional and technical knowledge by attending educational workshops; reviews professional publications; establishes personal networks; participates in professional societies.
  • Contributes to team effort by accomplishing related results as needed.
  • Assists accountant in retaining and recording all record of corporate expenses and bank account transactions.  
  • Assists office staff in planning and coordinating all in-office and out of office corporate events.
  • Assists with preparation of corporate meetings and events.

Skills and Qualifications:

  • MUST have a minimum 2 year experience working with top level executives.
  • MUST be highly skilled in all programs in Microsoft Office, Adobe, and other software.
  • MUST be able to work independently with minimal supervision, manage own time effectively, maintain control over all current projects/responsibilities, and follow up on all relevant issues.
  • MUST have strong multi-tasking and organizational skills.
  • MUST have past letters of recommendations from high level executives.
  • Excellent written and verbal communication.
  • Effective interpersonal skills, with an ability to interface with personnel at all levels.
  • Strong attention to detail, and a commitment to quality.
Apply Now

Reports to:         Provider Relations Manager

Salary:                  $40k - $55k ($55k - $70k for Senior)

Status:                  Full-Time / Exempt

Location:             Houston, TX

 

Position Summary:

The Provider Relations Representative is responsible for establishing and maintaining strong business relationships with provider types, ensuring each of their territory compositions include an appropriate distribution of provider specialties and provide in depth, high level educational instruction and support to physicians and their staff. This is an account management position and will be the main point of contact for the respective providers. Will routinely visit physician’s offices for issues concerning the achievement of provider satisfaction, medical cost targets, network growth and/or efficiency targets, education of benefits, policy and procedure for managed care plans, assistance with claims payments, financial compensation and marketing. Generally, work is self-directed and not prescribed; works with less structure, but more complex issues. Travel requirements – local and extensive.

 

Responsibilities:

  • Develop the provider network of assigned territory (family practice, cardiology, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produce a comprehensive product for business partners.
  • Intermediary between Health Plans and Providers concerning provider participation, claim issues, additions, terminations
  • Daily visits to physician offices
  • Provide Orientations and ongoing education to physicians and staff on Health Plans policies, procedures and resource information
  • Develop a strong relationship with office staff and physician to promote their growth in the network.
  • Review bonus matrix with physicians for each quarterly distribution.
  • Proven ability to synthesize and translate competitive intelligence into decision-making process
  • Analyze Data to identify cost driver and share/educate physicians on improvement options
  • Provide advice/guidance/recommendations and insight to leadership regarding assigned network territory
  • Negotiates provider contracts as applicable
  • Participates in quarterly Provider Forums
  • Serves as a resource to others.
  • Assist staff with proper claims payment when necessary.
  • Assist Health Plans and Physicians with HEDIS compliance and data collection
  • Works with other departments on a daily basis
  • Assist with special projects

 

Qualifications:

  • 2+ years of experience in Provider Relations with a Physician Network or Health Plan (4+ for Senior) REQUIRED
  • Knowledge of Medicare Managed Care REQUIRED
  • Knowledge of CMS Medicare Advantage Risk Adjustment, Star rating program, and HEDIS preferred
  • Knowledge of Direct Medicare record collection and understanding of ICD9/ICD10, CPT 4 billing requirements preferred
  • Reliable transportation REQUIRED
  • MUST live in the recruiting area
  • Fluent in Spanish a plus
  • Knowledge of claims processing and guidelines a plus
  • Strong interpersonal skills, establishing rapport and working well with others
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others (a critical thinker with presentation skills)
  • Analytical/data drive decision-making skills
  • Working knowledge of provider business operations
  • Proven ability to synthesize and translate competitive intelligence into decision-making process
  • Familiar with Microsoft applications including Outlook, Word and Excel. Experience with Access a plus.
  • Must be self-motivated and work independently; able to translate concepts into practice

 

Company Benefits:

 

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

  • Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
  • Employer funded HSA program.
  • Paid Time Off ranging from 5-28 days depending on length of service.
  • Profit Sharing Bonus Program
  • 100% Employer Paid Pension Plan after 5 years
  • 24/7 access to company gym and locker rooms in Houston offices.
Apply Now

Community Health Advocate

(Chinese or Vietnamese)

Job Description

 

Reports to:         Patient Services Director

Salary:                  $18 - $22 / hour

Status:                  Full-Time / Non-Exempt

Location:             Varies

 

Position Summary:

The Community Health Worker (CHW) for IntegraNet Health will assist an assigned group of patients to maintain a Primary Care Medical Home, as well as increasing their access to services within IntegraNet Health continuum of care and/or the community at large. The CHW will link patients with resources available to them within the community. The CHW for IntegraNet Health is a frontline public health worker who serves as a liaison and link between the company and health/social service. Must be Fluent in Chinese or Vietnamese.

Roles and Objectives

  1. Case Management and Care Coordination
  2. Home Based Support
  3. Health Promotion and Health Coaching
  4. Resource and Benefits Navigation and Explanation

Case Management and Care Coordination:

  • Participating in care coordination and/or case management calls and outreach
  • Making referrals and providing follow-up with detailed explanations in accordance to patient’s benefits.
  • Facilitating transportation services and helping to address other barriers to access of care.
  • Documenting and tracking Patients status.
  • Be responsible for providing consistent communication to the Care Management Coordinator to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
  • Providing necessary information to understand and prevent diseases and to help people manage health conditions (including chronic disease)
  • Work closely with medical provider to help ensure that patients have comprehensive and coordinated care.

Home Based Support:

  • Home visits to provide education, assessment, and social support
  • Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
  •  Providing ongoing follow-up, basic motivational interviewing and goal setting with patients/families.

Health Promotion and Health Coaching:

  • Providing ongoing follow-up, basic motivational interviewing and goal setting with patients/families.
  • Follow-up with patients via phone calls, home visits
  • Assist patients with completing applications and registration forms.
  • Help patients set personal goals, and attend appointments by providing appalment reminders.
  • Provide referrals for services to community agencies as appropriate.
  • Follow-up with patients should be continuous from initial identification through closure.

 

Resource and Benefits Navigation and Explanation:

  • Conduct eligibility determination, enrollment and follow-up.
  • Help triage patients to insurance advisors if interested in insurances changes

Qualifications:

  • MUST be CHW certified with a minimum of (2) years of experience.
  • MUST be fluent in English and another language (languages vary), reading and writing.
  • MUST have a clear license and reliable transportation.

Company Benefits:

 

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

  • Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
  • Employer funded HSA program.
  • Paid Time Off ranging from 5-28 days depending on length of service.
  • Profit Sharing Bonus Program
  • 100% Employer Paid Pension Plan after 5 years
  • Employer Sponsored Wellness Program with access to company gym and locker rooms in Houston offices.
Apply Now

Community Health Advocate

Job Description

 

Reports to:         Patient Services Director

Salary:                  $18 - $22 / hour

Status:                  Full-Time / Non-Exempt

Location:             Varies

 

Position Summary:

The Community Health Worker (CHW) for IntegraNet Health will assist an assigned group of patients to maintain a Primary Care Medical Home, as well as increasing their access to services within IntegraNet Health continuum of care and/or the community at large. The CHW will link patients with resources available to them within the community. The CHW for IntegraNet Health is a frontline public health worker who serves as a liaison and link between the company and health/social service

Roles and Objectives

  1. Case Management and Care Coordination
  2. Home Based Support
  3. Health Promotion and Health Coaching
  4. Resource and Benefits Navigation and Explanation

Case Management and Care Coordination:

  • Participating in care coordination and/or case management calls and outreach
  • Making referrals and providing follow-up with detailed explanations in accordance to patient’s benefits.
  • Facilitating transportation services and helping to address other barriers to access of care.
  • Documenting and tracking Patients status.
  • Be responsible for providing consistent communication to the Care Management Coordinator to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
  • Providing necessary information to understand and prevent diseases and to help people manage health conditions (including chronic disease)
  • Work closely with medical provider to help ensure that patients have comprehensive and coordinated care.

Home Based Support:

  • Home visits to provide education, assessment, and social support
  • Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
  •  Providing ongoing follow-up, basic motivational interviewing and goal setting with patients/families.

Health Promotion and Health Coaching:

  • Providing ongoing follow-up, basic motivational interviewing and goal setting with patients/families.
  • Follow-up with patients via phone calls, home visits
  • Assist patients with completing applications and registration forms.
  • Help patients set personal goals, and attend appointments by providing appalment reminders.
  • Provide referrals for services to community agencies as appropriate.
  • Follow-up with patients should be continuous from initial identification through closure.

 

Resource and Benefits Navigation and Explanation:

  • Conduct eligibility determination, enrollment and follow-up.
  • Help triage patients to insurance advisors if interested in insurances changes

Qualifications:

  • MUST be CHW certified with a minimum of (2) years of experience.
  • MUST be fluent in English and another language (languages vary), reading and writing.
  • MUST have a clear license and reliable transportation.

Company Benefits:

 

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

  • Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
  • Employer funded HSA program.
  • Paid Time Off ranging from 5-28 days depending on length of service.
  • Profit Sharing Bonus Program
  • 100% Employer Paid Pension Plan after 5 years
  • Employer Sponsored Wellness Program with access to company gym and locker rooms in Houston offices.
Apply Now
Pharmacy Technician Outreach Specialist
Job Description
 
Reports to: Patient Services Director
Salary: $18 - $22 / hour
Status: Full-Time / Non-Exempt
Location: Houston areas.
 
Position Summary:
The Pharmacy Technician Outreach Specialist (PTOS) for IntegraNet Health will assist an assigned group of patients to achieve medication adherence goals by coordinate pharmacy, patient and physicians for prescription fulfilment and link patients with resources available to them within IntegraNet Health continuum of care and/or the community at large. The PTOS for IntegraNet Health is a front-line public health worker who serves as a liaison and link between the company and health/social services.
Responsibilities:
• Place outgoing phone calls to members, prescribers and insurance companies to obtain clarification on prescription orders.
• Handle phone calls and correspondence to patients regarding pharmacy prescription orders.
• Coordinate the transfer of prescription orders from other pharmacies.
• Communicate with healthcare providers and follow-up on new prescription orders and refills.
• Contact patients to inform of a delay in processing their order.
• Assist supervisor, Community Health Workers (CHW), and Care Coordinator (CC) with escalated calls and non-standard customer service issues.
• Research to help troubleshoot customer concerns and complaints.
• Assist in the continuum of medication adherence and identify barriers if any. 
• Establish increased patient compliance through monitoring of prescriptions and refills.
• Documenting and tracking patient status.
• Work closely with physician/pharmacist to help ensure that patients have comprehensive and coordinated care.
• Follow-up with patients via phone calls and home visits.
• Achieve individual performance goals for productivity and quality.
• Maintain confidentiality of patient and proprietary information.
• Other duties as assigned.
Qualifications:
• MUST have Bachelor of Pharmacy and/or National Pharmacy Tech Certification.
• MUST have 2+ years’ experience in retail pharmacy industry. 
• MUST be fluent in English and another language (languages vary), reading and writing.
• MUST have a clear driver’s license and reliable transportation. 
• MUST live in and have knowledge of the Houston-Metro are.
• Effective verbal and written communication skills.
• Excellent interpersonal skills with a strong customer focus.
• Ability to work with peers in a team effort
Company Benefits:
 
In a full-time permanent position, you will be able to participate in our company benefit program which includes:
• Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
• Employer funded HSA program.
• Paid Time Off ranging from 5-28 days depending on length of service.
• Profit Sharing Bonus Program
• 100% Employer Paid Pension Plan after 5 years
• Employer Sponsored Wellness Program with access to company gym and locker rooms in Houston offices. 
Apply Now

Provider Relations Representative

Job Description

 

Reports to:         Provider Relations Manager

Salary:                  $40k - $55k ($55k - $70k for Senior)

Status:                  Full-Time / Exempt

Location:             Dallas, TX

 

Position Summary:

The Provider Relations Representative is responsible for establishing and maintaining strong business relationships with provider types, ensuring each of their territory compositions include an appropriate distribution of provider specialties and provide in depth, high level educational instruction and support to physicians and their staff. This is an account management position and will be the main point of contact for the respective providers. Will routinely visit physician’s offices for issues concerning the achievement of provider satisfaction, medical cost targets, network growth and/or efficiency targets, education of benefits, policy and procedure for managed care plans, assistance with claims payments, financial compensation and marketing. Generally, work is self-directed and not prescribed; works with less structure, but more complex issues. Travel requirements – local and extensive.

 

Responsibilities:

  • Develop the provider network of assigned territory (family practice, cardiology, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produce a comprehensive product for business partners.
  • Intermediary between Health Plans and Providers concerning provider participation, claim issues, additions, terminations
  • Daily visits to physician offices
  • Provide Orientations and ongoing education to physicians and staff on Health Plans policies, procedures and resource information
  • Develop a strong relationship with office staff and physician to promote their growth in the network.
  • Review bonus matrix with physicians for each quarterly distribution.
  • Proven ability to synthesize and translate competitive intelligence into decision-making process
  • Analyze Data to identify cost driver and share/educate physicians on improvement options
  • Provide advice/guidance/recommendations and insight to leadership regarding assigned network territory
  • Negotiates provider contracts as applicable
  • Participates in quarterly Provider Forums
  • Serves as a resource to others.
  • Assist staff with proper claims payment when necessary.
  • Assist Health Plans and Physicians with HEDIS compliance and data collection
  • Works with other departments on a daily basis
  • Assist with special projects

 

Qualifications:

  • 2+ years of experience in Provider Relations with a Physician Network or Health Plan (4+ for Senior) REQUIRED
  • Knowledge of Medicare Managed Care REQUIRED
  • Knowledge of CMS Medicare Advantage Risk Adjustment, Star rating program, and HEDIS preferred
  • Knowledge of Direct Medicare record collection and understanding of ICD9/ICD10, CPT 4 billing requirements preferred
  • Reliable transportation REQUIRED
  • MUST live in the recruiting area
  • Fluent in Spanish a plus
  • Knowledge of claims processing and guidelines a plus
  • Strong interpersonal skills, establishing rapport and working well with others
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others (a critical thinker with presentation skills)
  • Analytical/data drive decision-making skills
  • Working knowledge of provider business operations
  • Proven ability to synthesize and translate competitive intelligence into decision-making process
  • Familiar with Microsoft applications including Outlook, Word and Excel. Experience with Access a plus.
  • Must be self-motivated and work independently; able to translate concepts into practice

 

Company Benefits:

 

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

  • Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.
  • Employer funded HSA program.
  • Paid Time Off ranging from 5-28 days depending on length of service.
  • Profit Sharing Bonus Program
  • 100% Employer Paid Pension Plan after 5 years
  • 24/7 access to company gym and locker rooms in Houston offices.
Apply Now

Pharmacy Technician Outreach Specialist

Job Description

 

Reports to: Patient Services Director

Salary: $18 - $22 / hour

Status: Full-Time / Non-Exempt

Location: Dallas/Fort Worth Areas

 

Position Summary:

The Pharmacy Technician Outreach Specialist (PTOS) for IntegraNet Health will assist an assigned group of patients to achieve medication adherence goals by coordinate pharmacy, patient and physicians for prescription fulfilment and link patients with resources available to them within IntegraNet Health continuum of care and/or the community at large. The PTOS for IntegraNet Health is a front-line public health worker who serves as a liaison and link between the company and health/social services.

Responsibilities:

• Place outgoing phone calls to members, prescribers and insurance companies to obtain clarification on prescription orders.

• Handle phone calls and correspondence to patients regarding pharmacy prescription orders.

• Coordinate the transfer of prescription orders from other pharmacies.

• Communicate with healthcare providers and follow-up on new prescription orders and refills.

• Contact patients to inform of a delay in processing their order.

• Assist supervisor, Community Health Workers (CHW), and Care Coordinator (CC) with escalated calls and non-standard customer service issues.

• Research to help troubleshoot customer concerns and complaints.

• Assist in the continuum of medication adherence and identify barriers if any. 

• Establish increased patient compliance through monitoring of prescriptions and refills.

• Documenting and tracking patient status.

• Work closely with physician/pharmacist to help ensure that patients have comprehensive and coordinated care.

• Follow-up with patients via phone calls and home visits.

• Achieve individual performance goals for productivity and quality.

• Maintain confidentiality of patient and proprietary information.

• Other duties as assigned.

Qualifications:

• MUST have Bachelor of Pharmacy and/or National Pharmacy Tech Certification.

• MUST have 2+ years’ experience in retail pharmacy industry. 

• MUST be fluent in English and another language (languages vary), reading and writing.

• MUST have a clear driver’s license and reliable transportation. 

• MUST live in and have knowledge of the Houston-Metro are.

• Effective verbal and written communication skills.

• Excellent interpersonal skills with a strong customer focus.

• Ability to work with peers in a team effort

Company Benefits:

 

In a full-time permanent position, you will be able to participate in our company benefit program which includes:

• Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc. available to the employee and their family.

• Employer funded HSA program.

• Paid Time Off ranging from 5-28 days depending on length of service.

• Profit Sharing Bonus Program

• 100% Employer Paid Pension Plan after 5 years

• Employer Sponsored Wellness Program with access to company gym and locker rooms in Houston offices. 

Apply Now