Pharmacy Analyst

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Pharmacy Analyst for a contract opportunity with one of our largest clients located in Detroit, MI!

Title : Pharmacy Analyst

Location : Detroit, MI (Remote from home)

Duration : 5+ Months

Role Type : W2 Contract Engagement

Responsibilities / Tasks :

• Assist with all functions related to Pharmacy Benefit Manager (PBM) oversight for Medicare Advantage Part D plans.
• Receive and respond to plan related member and provider inquires.
• Troubleshoot problems, inquiries, and provide timely response.
• Works with internal and external partners to ensure compliance with CMS regulations.
• Performs routine tracking, auditing, and reporting of performance in relation to CMS requirements.
• Supports the organization in the event of an internal or external audit.
• Coordinate review of Part D member and provider communications.
• Recommends and assists with development of policies and procedures and desk level guides.
• Assists personnel (both internal and external) by answering questions, supplying information, and maintaining metric and performance dashboards.
• Assist in monitoring reports to track operational effectiveness and vendor service levels.
• Report reconciliation in multiple software environments.
• Proficiency with and responsibly for pulling data reports from readily available databases and reporting tool.
• Maintain drug lists and HCPCs changes or updates.

Top 3 Required Skills / Experience

• Retail Pharmacy, Healthplan, PBM or related experience at least 2 years
• Strong computer skills and use of existing software packages (Excel, Power Point, Word, Outlook, etc.)
• Knowledge of claims processing and prescription drug names

Required Skills / Experience

• Detail Oriented
• Organization and time management skills, as evidenced by the capacity to prioritize multiple tasks and job duties / responsibilities.
• Capability to work independently and efficiently complete tasks in a fast-paced environment.
• Ability to read and interpret process workflows.
• Strong interpersonal communication skills and experience with interacting across multiple departments.

Preferred Skills / Experience

• CMS Part D knowledge & CMS regulations
• Knowledge of PBM systems and tools
• Healthplan experience

Education / Certifications

• CPhT preferred (Certified Pharmacy Tech licensed)
• High school diploma or GED

The S3 Difference

The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.

The four pillars of our company are to :

• Set the bar high for what a company should do
• Create jobs
• Offer people an opportunity to succeed and change their station in life
• Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you’re eligible for a full benefits package that may include :

• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401(k) Plan
• Vacation Package
• Life & Disability Insurance Plans
• Flexible Spending Accounts
• Tuition Reimbursement

Job ID : JOB-236111 Publish Date : 18 Jun 2024