Simply Healthcare Plans Jobs (NOW HIRING)

Why MediGold?

MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.

We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing. 

What we offer:

• Competitive compensation and benefits packages including medical, dental, and vision coverage
• Retirement savings account with employer match starting on day one
• Generous paid time off programs
• Employee recognition incentive program
• Tuition/professional development reimbursement
• Relocation assistance (geographic restrictions apply)
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing

Why Columbus?

The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com

About the job:

The Director Pharmacy leads all aspects of reporting and analysis of health plan drug utilization, and coordinates all contracted pharmacy related vendors including The Pharmacy Benefit Director. The Director Pharmacy will serve as member liaison for pharmaceutical issues and will be responsible for recommendations on formulary adjustments, oversight and for the pharmacy component of the annual bid process with CMS.

What you'll do:

• Be knowledge of pharmaceutical industry terminology, program compliance, pharmacy pricing methodologies for both Part B and Part D agents, Effective Communication and Presentation Skills.
• Ability to establish and maintain relationship with providers, members, and MCHS leadership.
• Knowledgeable on current treatment practices, with the ability to demonstrate continual learning related to new product and pharmaceutical developments, if degree is in pharmacy.

What we're looking for:

• Education: Doctor of Pharmacy is preferred. Relevant Post-grad or comparable years of experience desired. *** Prior experience in Managed Health Care Planning in lieu of Pharm D. with MBA , BSN or related education.
• Experience: 5+ years of experience in a health plan environment; population health practice &/or policy experience desirable. A minimum of 3 years health plan management experience is desired.
• Valid pharmacist License in the state of Ohio (or capacity to complete within 3 months).

Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law

Our Commitment to Diversity and Inclusion
 

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.