Pharmacist, Quality Unit Support
University of Louisiana Monroe•La, LA
About The Position
This position supports the Louisiana Medicaid Pharmacy Program and may be located at the Louisiana Department of Health in Baton Rouge, Louisiana, or at the University of Louisiana Monroe College of Pharmacy in Monroe, Louisiana. The role supports program operations across the Medicaid Pharmacy Lock-In Program, the 340B Drug Pricing Program, drug utilization review, pharmacy prior authorization, and other assigned areas such as audit and rebate.
Requirements
- Graduate of an ACPE-accredited School/College of Pharmacy with a B.S. degree or higher.
- Current Louisiana Pharmacist License or eligibility for licensure in Louisiana; pharmacist license must be in good standing.
- Experience with Microsoft Office (Microsoft 365) applications.
- Good interpersonal communication skills.
- Exceptional organization skills and attention to detail.
- Self-motivation and ability to work on a team or individually with minimal supervision.
Nice To Haves
- A Pharm.D. degree or equivalent work-related experience.
- Experience in or knowledge of pharmacy policy.
Responsibilities
- Support the Louisiana Medicaid Pharmacy Program, its fiscal intermediary, and the University of Louisiana at Monroe with program operations.
- Support the Medicaid Lock-In Program by evaluating selection criteria, reviewing profiles, managing recipients, communicating with providers, conducting research, and reporting.
- Support the 340B Drug Pricing Program, including the HRSA Medicaid Exclusion File and responding to questions or concerns from 340B Louisiana Medicaid providers.
- Respond to Pharmacy Help Desk calls from Medicaid stakeholders, including recipients, providers, and health plans.
- Maintain a local pharmacy list.
- Support management of physician-administered drugs, including review of MCO medical drug criteria and policies.
- Support the Louisiana Medicaid Pharmacy Rebate Program by addressing drug-related questions and reporting.
- Review and suggest revisions to Medicaid Member Notifications.
- Draft provider notices about implementation of pharmacy-related Medicaid policy and procedure updates.
- Review and recommend updates to the Louisiana Medicaid Pharmacy Benefits Management Services Manual.
- Assist with cross-over claim reconciliation.
- Extract and analyze pharmacy-related claims data from the P-Web database as directed.
- Serve as report business owners for MCO quarterly and monthly reports.
- Support legislative fiscal impact questions and reporting.
- Research clinical questions and policy issues.
- Prepare management and utilization reports as directed.
- Work with other contractors on special applications and projects as directed, such as the POS User Guide and ECHO’s.
- Review MCO Remittance Advices.
- Participate in disaster relief activities at the request of the Louisiana Medicaid Program, LDH, or ULM.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
