Manager, Medicare Pharmacy Operations
Arkansas Blue Cross and Blue Shield
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Serves as a liaison with contracted vendors that provide administrative and clinical services for the pharmacy program.
- Responsible for the development and implementation of new benefit plans, products, and strategies.
- Represents Government Programs within the enterprise regarding various issues.
- Ensures execution against requirements of the Medicare Pharmacy Program as defined by CMS.
Requirements
- Bachelor's degree in a related field.
- In lieu of degree, five (5) years' experience in a pharmacy environment.
- Pharmacy Doctorate (PharmD) from an accredited college of pharmacy preferred.
- Minimum seven (7) years' experience within a pharmacy environment OR applicable Masters in related field with minimum five (5) years' experience.
- Minimum five (5) years' experience dealing with external vendors and end users.
- Minimum two (2) years' leadership experience.
- Experience in managed care, pharmacy management, utilization management, or other related functions preferred.
- Knowledge of the Medicare Part D and Medicare Advantage benefits preferred.
Benefits
- Tuition reimbursement.
- Club Blue, a free, onsite gym to encourage exercise.
- Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating.
- Incentives for wellness education and exercise
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
pharmacy managementutilization managementvendor managementbenefit plan developmentclinical services implementationMedicare Part DMedicare Advantage
Soft Skills
leadershipcommunicationinterpersonal skills
Certifications
Pharmacy Doctorate (PharmD)Bachelor's degree in related fieldMaster's degree in related field