Pharmacy Program Specialist

Providence • Portland, OR

7d • Remote

About The Position

This position is responsible for performing technically detailed pharmacy and benefit audit work that impacts pharmacy and health plan operations, programs, and information systems within the Pharmacy Services Department of the Healthcare Experience & Operations Division. Responsibilities include monitoring and validating CDAG and ODAG universes, completing monthly and ad hoc remediation, and supporting mock and live RCGA audits through evidence preparation and audit response activities. The role authors and maintains CDAG and ODAG desk procedures and audit documentation, and performs related technical duties as assigned. The position communicates directly with RCGA, federal and state regulatory entities, pharmacists, nurses, physicians, and other healthcare providers and their staff regarding audit findings, claims, and medication management programs. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence Health Plan welcomes 100% remote work for applicants who reside in the following states: Washington Oregon California

Requirements

• Bachelor's Degree -OR- a combination of equivalent education and experience
• Oregon Pharmacy Technician License upon hire - OR- Oregon Certified Oregon Pharmacy Technician upon hire
• 2 years of Experience as a pharmacy technician in a managed care environment, -OR- 3 years of experience working as a Pharmacy Technician in a Pharmacy

Responsibilities

• Monitoring and validating CDAG and ODAG universes
• Completing monthly and ad hoc remediation
• Supporting mock and live RCGA audits through evidence preparation and audit response activities
• Authoring and maintaining CDAG and ODAG desk procedures and audit documentation
• Performing related technical duties as assigned
• Communicating directly with RCGA, federal and state regulatory entities, pharmacists, nurses, physicians, and other healthcare providers and their staff regarding audit findings, claims, and medication management programs

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees