PBM Compliance & Pharmacy Audit Specialist

MCS Puerto Rico is seeking a detail-oriented professional to monitor Pharmacy Benefits Managers (PBM) operations ensuring compliance with CMS regulations. The role requires assessing pharmacy claims, ensuring accurate beneficiary directories, and maintaining compliance with legally mandated standards. Ideal candidates have a Bachelor's Degree in Business, Health Administration, or Pharmacy, along with relevant experience in pharmacy operations. Proficiency in Microsoft Excel is crucial, as is a working knowledge of clinical pharmacy regulations. The ability to communicate in both English and Spanish is required.
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