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Pharmacy Monitor

Location : Long Beach, CA
Job Type : Contract to Direct
Reference Code : 9100
Hours : Full Time
Required Years of Experience : 2+ Years
Required Education : High School Diploma or Equivalent
Travel : No
Relocation : No
Job Category : Medical and Nursing

Job Description :
My Client, a HUGE Medical Insurance Company, is seeking Pharmacy Monitors!

 

Remote Position!

 

$22-$23/Hour



Must have PBM (Pharmacy Benefits Management) experience to qualify for the position!

Pharmacy Monitor Job Responsibilities:


• Identifies opportunities for improvement and participates in the development of new pharmacy reporting capabilities in support of customer needs.
• Documents policies and procedures, reporting and project specifications, job aids and workflows within the department.
• Participates in the setup of pharmacy benefits via our Pharmacy Benefit Manager (PBM).
• Determines and/or agrees upon deliverables with customer, as well as determines the resource(s) necessary to meet those deliverables.
• Acts as company's Product Management Department point of contact.
• Acts as company's pharmacy benefits design Subject Matter Expert (SME).
• Partners with Manager, Supervisor and other senior analysts to analyze customers’ needs and requests and review requests for accuracy, completeness, intent and scope.
• Is expected to expand global business acumen and awareness relative to changes that impact Molina’s businesses and customers (related to Pharmacy benefits).



Required Qualifications :
Pharmacy Monitor Job Requirements: 



  • Computer literate (Microsoft office products) 

  • Excellent Verbal and Written communication skills 

  • Analytical Ability. 

  • Experience and knowledge of Medicare Regulations. 

  • Well versed with Medical Terminology. 

  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) 

  • High School Diploma or equivalent Required Experience:  

  • 2+ years in Managed Care

  • Knowledge of PBM’s methodologies. 

  •  Must be a Certified Pharmacy Technician


For immediate Consideration, please email resume to jneary@mednationalstaffing.com! look forward to working with you soon!

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