Account Specialist, Pharmacy Services
Molina Healthcare, Des Moines, IA, United States
Job Summary
Provides support for pharmacy related activities including data analysis, audit and compliance oversight of pharmacy related policies, procedures and processes. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
Collaborates with departments to secure data and analysis necessary to support state reporting, Pharmacy Benefit Manager (PBM) and delegation oversight (both internal and external).
Supports and completes all audits as required (SOX, Centers for Medicare and Medicaid Services (CMS), internal, network, etc.)
Assists management by preparing and analyzing compliance/audit reports.
Assists in the implementation and oversight of processes, policies and procedures.
Prepares, researches, and validates information for both internal and external program audits.
Required Qualifications
At least 2 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination of relevant education and experience.
Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
Ability to build positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
Ability to meet established deadlines.
Ability to function independently and manage multiple projects.
Ability to present ideas and information concisely to varied audiences.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Experience executing Pharmacy Benefit Manager (PBM) and specialty pharmacy contracts on behalf of large payers.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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Essential Job Duties
Collaborates with departments to secure data and analysis necessary to support state reporting, Pharmacy Benefit Manager (PBM) and delegation oversight (both internal and external).
Supports and completes all audits as required (SOX, Centers for Medicare and Medicaid Services (CMS), internal, network, etc.)
Assists management by preparing and analyzing compliance/audit reports.
Assists in the implementation and oversight of processes, policies and procedures.
Prepares, researches, and validates information for both internal and external program audits.
Required Qualifications
At least 2 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination of relevant education and experience.
Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
Ability to build positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
Ability to meet established deadlines.
Ability to function independently and manage multiple projects.
Ability to present ideas and information concisely to varied audiences.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Experience executing Pharmacy Benefit Manager (PBM) and specialty pharmacy contracts on behalf of large payers.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#J-18808-Ljbffr