Pharmacy Network MAC Management Specialist

Our client, a leading software company, is seeking a Pharmacy Network MAC Management Specialist to join their team. As a Pharmacy Network MAC Management Specialist, you will be part of the Technical Implementation team. The ideal candidate will have great communication skills, be a continuous learner, and have a desire to assist others which will align successfully in the organization.

Job Title: Pharmacy Network MAC Management Specialist

Location: Remote

What's the Job?

• 3+ years' experience in Pharmacy Network MAC Management or Pricing, Pharmacy, Actuarial Science, or other related areas
  
  • Must be able to understand and evaluate risk
  
  • 1+ years' experience with modeling and data management
  
  • Advanced SQL, DB Visualizer and Excel skills required
  
  • Tableau experience a plus
  
  • Strong organizational and decision making skills with a high degree of mathematical aptitude
  
  • Strong understanding of pharmacy network processes
  
  • Excellent written and oral communication skills
  
  • Attention to detail
  
  • Ability to interact with senior management and key
  business users
  
  • Demonstrated ability to multi-task
  
  • Experience with supporting and managing contractual guarantees
  
  What You Will Get To Do:
  
  • Support the Pharmacy Network operations by managing all SS&C MAC Lists including developing strategies, pricing and balancing pharmacy contracts with customer guarantees
  
  • Work with leadership on identifying Network Risk and available mitigation strategies
  
  • Address and respond to MAC appeals meeting all state and other related regulatory requirements
  
  • Create ad hoc reporting for network management and strategic analysis
  
  • Ensure issues are identified, tracked, reported on and resolved in a timely manner
  
  • Involvement in special projects, communication and overall organizational changes related to Pharmacy Networks
  
  • Capacity to embrace change and quickly adapt to new situations, changes in direction, and altering priorities
  
  • Identify Organization's strengths and weaknesses with regards to Pharmacy Networks and suggest areas of improvement
  
  • Involvement in projects related to network management
  
  • Partnering with other internal clients such as contract and legal teams to expedite the client contracting process
  
  • Collaborate with other members of the finance team in budget, forecast, and compliance decisions
  
  • Support the other internal teams and customers in developing Network strategies and responding to customer RFP inquiries