Sr Pharmacy Operations Analyst
Spectraforce
US
Remote
7 days ago
Job Description
Title: Sr Pharmacy Operations Analyst
Duration: 11 Months
Location: The role is 100% remote.
Approved conversion State (Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming)
Shift: M-F 8-5 EST
Job Description:
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 42.94/hr.
Duration: 11 Months
Location: The role is 100% remote.
Approved conversion State (Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming)
Shift: M-F 8-5 EST
Job Description:
- Works closely with other team members for the design and implementation of client’s pharmacy benefits.
- Provides support on escalated and/or complex issues.
- Works closely with other team members on annual corporate project to refresh of individual and group pharmacy benefit offerings.
- Maintains project plan documents and provides periodic updates to management on a regular basis, meeting required project deadlines.
- Pharmacy operational lead for web updates
- Audits all prescription drug benefit plans built by Pharmacy Coordinators.; Audit includes benefits set up.
- Partners with internal business partners to meet our clients’ needs.
- Support/Collaboration with internal business partners to ensure complete compliance with state and federal regulations for commercial plans.
- Monitors and facilitates resolution of compliance issues from an operational perspective and provide appropriately timed updates for upward dissemination.
- Engages with other staff members and client engagement teams in activities focused on client retention and new sales, and analysis and resolution of group or individual benefit issues identified by corporate business partners or through internal/external audit.
- Bachelor's degree or advanced degree (where required)
- 5+ years of experience in related field.
- In lieu of degree, 7+ years of experience in related field.
- Medicare exp (Pharmacy + CMS) reporting requirements.
Applicant Notices & Disclaimers
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 42.94/hr.