JOB DESCRIPTION
It's more than a career, it's a calling.
MO-REMOTE
Worker Type : Regular
Regular
Job Summary :
Development and execution of the operational activities of the B Center of Excellence functional areas.
Job Responsibilities and Requirements :
PRIMARY RESPONSIBILITIES
- Performs recurring internal audits and oversight of B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies.
- Supports for implementation of new child sites, shipping addresses and / or contract pharmacies.
- Assists with Office of Pharmacy Affairs (OPA) database changes and updates.
- Monitors and audits state Medicaid claims to ensure compliance.
- Reconciles contract pharmacy payments against revenue posted by Finance.
- Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR).
- Develops and updates B Program reporting packets for SSM ministries.
- Reviews ordering, negative and positive accumulations and unmapped items in third-party administrators (TPA) portal.
- Ensures compliant setup for secondary suppliers and wholesaler accounts.
- Performs other duties as assigned.
EDUCATION
Bachelor's degree or equivalent combination of experience and education
EXPERIENCE
Five years' experience
PHYSICAL REQUIREMENTS
- Frequent lifting / carrying and pushing / pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot / leg and hand / arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use / data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting / carrying and pushing / pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND / OR CERTIFICATIONS
State of Work Location : Illinois, Missouri, Oklahoma, Wisconsin
Advanced B Operations Certificate within 18-months of hire date - Apexus
Work Shift :
Day Shift (United States of America)
Job Type : Employee
Employee
Department :
B Center of Excellence
Scheduled Weekly Hours :
Benefits
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
- Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Flexible Payment Options : our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
- Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.
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