SHP Pharmacy Benefits Specialist (Remote in WI))

Marshfield Clinic-posted about 1 month ago
Full-time • Entry Level
Remote • Marshfield, WI
5,001-10,000 employees
Hospitals
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The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy benefits. This individual works closely with the Pharmacy Director, Clinical Pharmacy Specialist, and Operations Manager to provide consistent and accurate pharmacy benefit administration for SHP customers. The SHP Pharmacy Benefit Specialist recognizes and analyzes aberrations in the functioning of benefits to monitor the services and performance of SHP's pharmacy benefits, and to communicate those issues to the appropriate areas.

  • High school diploma or equivalent.
  • Five years' of experience working as a pharmacy technician with knowledge of electronic pharmacy claims processing.
  • Demonstrated proficiency with customer service skills.
  • Certified Pharmacy Technician (CPhT) awarded by the Pharmacy Technician Certification Board required or must attain certification within 6 months of hire date.
  • Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
  • Associate or Bachelor's Degree in business administration.
  • One year experience in a Health Maintenance Organization (HMO) or insurance industry.
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