Pharmacy Specialist
New York, New York
Employer: MJHS
Industry: Pharmacy Services
Salary: $61463.13 per year
Job type: Full-Time
Req #:
1573
Job ID:
13142
Job Location:
New York, NY
Zip Code:
10040
Category:
Pharmacy Services
Agency:
Elderplan
Status:
Regular Full-Time
Office:
Office-based
Salary:
$61,463.13 - $73,755.75 per year
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Why work for MJHS?:
When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!
Benefits include:
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
The Pharmacy Specialist will perform duties to support the efforts of Elderplan Pharmacy Department in the development, coordination, and maintenance of the plan’s pharmacy program. These duties involve administrative tasks and outreach calls to members, providers, and pharmacies as directed by the supervisor. Reviews and identifies opportunities for FWA (fraud, waste, and abuse) control through a review of high-cost drug claims as directed by pharmacists. All outreach activities, documents and reporting requirements are prepared and conducted in a professional and well-coordinated manner to comply with all Part D regulations and guidance.
Qualifications:
1573
Job ID:
13142
Job Location:
New York, NY
Zip Code:
10040
Category:
Pharmacy Services
Agency:
Elderplan
Status:
Regular Full-Time
Office:
Office-based
Salary:
$61,463.13 - $73,755.75 per year
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Why work for MJHS?:
When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!
Benefits include:
- Tuition Reimbursement for all full and part-time staff
- Generous paid time off
- Affordable medical, dental and vision coverage for employee and family members
- Two retirement plans ! 403(b) AND Employer Paid Pension
- Flexible spending
- And MORE!
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
The Pharmacy Specialist will perform duties to support the efforts of Elderplan Pharmacy Department in the development, coordination, and maintenance of the plan’s pharmacy program. These duties involve administrative tasks and outreach calls to members, providers, and pharmacies as directed by the supervisor. Reviews and identifies opportunities for FWA (fraud, waste, and abuse) control through a review of high-cost drug claims as directed by pharmacists. All outreach activities, documents and reporting requirements are prepared and conducted in a professional and well-coordinated manner to comply with all Part D regulations and guidance.
Qualifications:
- Bachelor's degree required
- 1-2 years experience of general office or administrative, pharmacy and/or pharmaceutical managed care or insurance environment
- 1-3 years of experience in analyzing pharmacy claims data to identify trends and summarize outcomes, Knowledge of Part D regulations, PBM and Star Quality measures for Medicare is strongly preferred.
- Strong interpersonal and organizational skills
- Bilingual English/Spanish a plus
- Excellent written and verbal communication skills
- Proficiency Excel, Word, Visio required
- Experience in Medicare, Medicaid and/or Pharmacy retail strongly preferred
Created: 2024-06-09
Reference: w3RE4gUtesd5
Country: United States
State: New York
City: New York
ZIP: 10036
Similar jobs:
-
Pharmacy Specialist (Pharmacy Technician), Correctional Health Services (Float)
Pagny in Flushing, New York💸 $63901.50 per year -
Clinical Pharmacy Specialist - Infectious Disease
Northwell Health in New Hyde Park, New York💸 $112800 - $197200 per year -
Pharmacist Clinical Specialist II- Specialty Pharmacy (Full-Time)
University of Rochester in Rochester, New York💸 $125008 - $161990 per year -
Medication Access Specialist - Specialty Pharmacy
University of Rochester in Rochester, New York💸 $18.89 - $25.51 per hour -
Medication Access Specialist - Community Pharmacy
University of Rochester in Rochester, New York💸 $18.50 - $24.05 per hour -
Clinical Pharmacy Specialist
Northwell Health in Huntington, New York💸 $112800 - $197200 per year -
Medication Documentation Specialist Per Diem - Pharmacy
Nyack Hospital in Nyack, New York -
Clinical Pharmacy Specialist
Northwell Health in Manhasset, New York💸 $112800 - $197200 per year -
Pharmacy Specialist (Pharmacy Technician), Correctional Health Services (Float)
Pagny in Flushing, New York💸 $63901.50 per year -
Clinical Pharmacy Specialist
Northwell Health in New Hyde Park, New York💸 $112800 - $197200 per year -
Clinical Pharmacy Specialist
Northwell Health in Bay Shore, New York💸 $112800 - $197200 per year -
Medication Access Specialist - Community Pharmacy
University of Rochester in Rochester, New York💸 $18.50 - $24.05 per hour -
Clinical Pharmacy Specialist
Northwell Health in New Hyde Park, New York💸 $112800 - $197200 per year -
Medication Access Specialist - Community Pharmacy
University of Rochester in Rochester, New York💸 $18.50 - $24.05 per hour -
Clinical Pharmacy Specialist - Oncology Ambulatory Telehealth Hybrid
Northwell Health in Lake Success, New York💸 $112800 - $197200 per year -
Medication Access Specialist - Community Pharmacy
University of Rochester in Rochester, New York💸 $18.50 - $24.05 per hour -
Clinical Pharmacy Specialist - Emergency Medicine
Northwell Health in New Hyde Park, New York💸 $112800 - $197200 per year