Telecommute Pharmacy Operations Oversight Specialist

Job ID: Available for Members

Location: Idaho, Oregon, Utah, Washington

Compensation: Salary

Posted: Thursday, March 08, 2018

Job Category: Healthcare

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employment Status: Permanent

Employer Type: Employer

Education Level: Bachelors

Additional Information: Benefits Available

Job Summary

A healthcare company is seeking a Telecommute Pharmacy Operations Oversight Specialist.

Core Responsibilities of this position include:

  • Assisting with appeals and grievances
  • Assisting with planning, coordinating, conducting, and reporting on pharmacy operations activities
  • Providing coverage determinations

Qualifications Include:

  • Must have at least four years Medicare Part D/Pharmacy benefit, and/or PBM experience
  • Demonstrated understanding of requirements related to Medicare Part D and/or Insurance Exchange and Commercial pharmacy products
  • Experience with business analysis and continuous process improvement
  • Bachelor's degree in a business related field
  • Demonstrated proficiency with either SAS or SQL and Oracle/SQL including ability to write queries based on business need
  • Demonstrated knowledge of Pharmacy Claim Analysis and quality practices