Certified Pharmacy Technician Analyst III
About The Position
Provides the manager performance monitoring, resolve pharmacy and medication related issues for members, review the practices and procedures , and provide pharmacy, benefit and compliance related expertise to Sutter. Works on a number of critical initiatives including: Audit vendor selection and audit, on site evaluation, clinical programs, like narcotic drug use review and adherence, specialty product channeling, compliance with regulations, cost analysis with possible rate negotiations and special studies. Is responsible for the coordination of services and cost effective management of pharmaceutical resources to meet individual members' health care needs and promote positive health care outcomes. The responsibilities include assessment, coordination, planning, monitoring and evaluation of multiple environments. Acts as a member advocate and liaison between providers, members, pharmacies and Sutter Health to seamlessly integrate services. Job Description: Please Note: While this position is listed as hybrid, regular in-office attendance is required. Candidates should be prepared to commute to the office on a consistent basis to support team collaboration and business needs.
Requirements
- Graduate of an accredited pharmacy technician program.
- PHARMC-Certified Pharmacy Technician
- 2 years recent relevant experience
- Knowledge of data fields required by National Council for Prescription Drug Programs (NCPDP).
- Ability at running ad hoc reports from pharmacy claims data with strong PC skills including PowerPoint, Access, Outlook, Excel and Word.
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA), Health Care Reform, Business Code of Ethics and government regulated programs.
- Ability to work collaboratively, prioritize functions, problem solve, and anticipate upcoming issues for the executives.
Nice To Haves
- Prior Authorizations
- Coverage Determinations
- Integrated Delivery Systems
- Managed Care
- PDM
Responsibilities
- Performance monitoring
- Resolve pharmacy and medication related issues for members
- Review the practices and procedures
- Provide pharmacy, benefit and compliance related expertise to Sutter
- Audit vendor selection and audit
- On site evaluation
- Clinical programs, like narcotic drug use review and adherence, specialty product channeling, compliance with regulations, cost analysis with possible rate negotiations and special studies
- Coordination of services and cost effective management of pharmaceutical resources to meet individual members' health care needs and promote positive health care outcomes
- Assessment, coordination, planning, monitoring and evaluation of multiple environments
- Act as a member advocate and liaison between providers, members, pharmacies and Sutter Health to seamlessly integrate services
Benefits
- Sutter Health values and supports the unique talents and strengths that each employee brings to our organization.
- As a result, you are empowered to apply your passion for healing in innovative ways to care for patients and their families.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
