Pharmacy Benefit & Compliance Specialist
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Job Description
Pharmacy Benefit & Compliance Specialist supporting the compliance and benefit configuration needs for Pharmacy Department operations. Collaborating closely with internal teams and providing subject matter expertise.
Responsibilities:
- Responsible for supporting the Pharmacy Department's day-to-day operations for the benefits and compliance of all products and lines of business
- Provides subject matter expertise related to analysis, implementation, and process improvement activities in support of the Pharmacy Department
- Creates and maintains reports for business operations and special projects as it pertains to operational processes
- Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business
- Assists in the implementation, maintenance and improvement of information systems
- Collaborates with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs
Requirements:
- HS - High School Grad or Equivalent REQUIRED
- Managed Care- 1 year REQUIRED
- Compliance - 1 year highly preferred
- Pharmacy or Pharmacy Benefit Management (PBM) system experience preferred
- Strong proficiency in Microsoft Office Suite especially Excel preferred
- Experience in SQL a plus
Benefits:
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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