VillageCareMAX is looking for a motivated Pharmacy Analystto ensure that all Village Care Max members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. As a Pharmacy Analyst, you will perform monthly quality monitoring of pharmacy requests and phone calls. You will coach technicians and representatives under direction of the supervisor. You will review pharmacy technician work for accuracy to ensure compliance with Medicare regulations in regard to coverage determinations, formulary exceptions and appeals. You will assist with many forms of reporting including compliance/audit report, transition reports, claim issues and ensure letters are being mailed within CMS defined timelines.
We would like to speak to those who have a current NYS Registered Pharmacist Technician License along with 2+ years' experience in a Managed care environment and knowledge of Pharmacy Benefits Management methodologies
There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys highly competitive compensation and benefits package, a 403(b) retirement plan and much more than we would love to speak with you! VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.VillageCare is a Drug-free workplace. Equal Opportunity Employer
Employment Type: FULL_TIME