Salary
💰 $66,000 - $106,000 per year
About the role
- Provide project coordination and administrative support to Clinical Program Management, Utilization Management, Formulary, GuidedHealth, Pharmaceutical Trade Relations, Pharmacy Audit, Clinical Operations and/or Specialty Pharmacy
- Develop, generate, analyze, quality check, and coordinate delivery of client and internal program reporting (UM Savings, Compliance, Utilization data, DURs, member eligibility, pharmacy/pharmaceutical performance and analytics)
- Support RFP and implementation processes by gathering information, requirements, and communicating status to business partners
- Create and maintain client, member, and physician communications and templates, member disruption mailings, and utilization requests; may participate in fulfillment
- Develop and maintain business process flows and desktop procedures for designated functional area
- May support clinical rules maintenance (GPI lists, other lists) and/or client invoicing for programs
- Perform other duties as assigned
Requirements
- Bachelor's degree in business, finance, biology or related field, or equivalent combination of education and/or related work experience
- HS diploma or GED is required
- 2 years of work experience in healthcare, Pharmacy Benefit Management, business process administration, project management or related experience
- Must be eligible to work in the United States without need for work visa or residency sponsorship
- Demonstrated ability to complete projects independently and within established timeframes
- Detail oriented with high degree of accuracy
- Excellent organizational and communication skills
- Proficiency in Adobe and Microsoft Office
- Preferred: National Pharmacy Technician Certification (PTCB or ExCPT), 3 years PBM/Managed Care/Pharmaceutical experience, project management skills, knowledge of formulary or utilization management, proficient in MS Access, familiarity with SAS
- Ability to perform essential job functions and comply with security responsibilities and controls