Account Specialist, Pharmacy Services (Pharmacy Operations, PBM) Remote

Molina Healthcare • Long Beach, CA

4d • Remote

About The Position

Molina Healthcare is hiring for an Account Specialist, Pharmacy Services (Pharmacy Operations, PBM). This is a remote role. The Account Specialist, Pharmacy Services will provide support for pharmacy related activities including data analysis, audit and compliance oversight of pharmacy related policies, procedures and processes. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Highly Qualified Candidates Will Have the Following Experience Pharmacy Operational experience PBM experience Remarkable attention to detail Comfortable owning processes and taking initiative Managed Care Pharmacy experience Excellent knowledge of Excel and Microsoft software and be comfortable learning new software A high level of communication skills both written and verbal Skilled in time management and demonstrated organizational skills

Requirements

• At least 2 years of experience in a pharmacy, Pharmacy Benefit Manager(PBM), and/or managed care setting, or equivalent combination of relevant education and experience.
• Ability to build positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
• Ability to meet established deadlines.
• Ability to function independently and manage multiple projects.
• Ability to present ideas and information concisely to varied audiences.
• Strong written and verbal communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Nice To Haves

• Experience executing Pharmacy Benefit Manager (PBM) and specialty pharmacy contracts on behalf of large payers.

Responsibilities

• Collaborates with departments to secure data and analysis necessary to support state reporting, Pharmacy Benefit Manager (PBM) and delegation oversight (both internal and external).
• Supports and completes all audits as required (SOX, Centers for Medicare and Medicaid Services (CMS), internal, network, etc.)
• Assists management by preparing and analyzing compliance/audit reports.
• Assists in the implementation and oversight of processes, policies and procedures.
• Prepares, researches, and validates information for both internal and external program audits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees