Immediate need for a talented Pharmacy Operations Analyst. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 26-32806
Pay Range: $24/hr - $25/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Analyze and interpret complex formulary and pharmacy benefit requirements to create operational specifications.
- Review large formularies and implementation documents to identify changes and operational impacts.
- Manage multiple implementations while ensuring compliance with client and regulatory deadlines.
- Develop comprehensive documentation detailing formulary status, prior authorization requirements, and coverage restrictions.
- Collaborate with pharmacists and operational stakeholders to ensure successful implementation of requirements.
- Investigate and resolve implementation issues, maintaining audit-ready documentation.
Key Requirements and Technology Experience:
- 2+ years of experience in pharmacy benefit management (PBM), health plan pharmacy operations, or related healthcare operations.
- Strong analytical skills with the ability to evaluate large data sets and identify discrepancies.
- Advanced proficiency in Microsoft Excel, including data reconciliation and analysis.
- Experience with Prior Authorization, Medicaid, and pharmacy claims.
- Excellent documentation, organizational, and project coordination skills.
- Ability to communicate effectively with technical and clinical stakeholders.
- State Medicaid PDL implementation experience.
- Experience with drug database vendors such as Medi-Span or First Databank.
- Familiarity with SQL, data analysis, or reporting platforms.
- Pharmacy Technician certification.
- Experience supporting audits or regulatory implementations.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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