1+ months

PHARMACY LIAISON - (121746)

Universal Health Services
Reno, NV 89501
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  • Job Code
    121746
  • Jobs Rated
    33rd

Job Summary: The Pharmacy Liaison provides daily, tactical support to clinical leadership, customer service, and claims departments in all matters related to pharmacy benefits across all lines of business including fully-insured and self-funded membership and Medicare Advantage products. The position will also provide oversight of delegated activities and internal functions to ensure regulatory compliance. The position will regularly interface with the pharmacy benefits manager, pharmacies, provider offices, and members. Specific day-to-day tasks include member appeals for prescription drug coverage, resolving customer service issues, and monitoring internal activities to ensure regulatory compliance. This position will also assist with the execution of utilization management and quality improvement projects.

Job Requirements

Regulatory Requirements:

  • Bachelors Degree and three (3) years related experience or Certified Pharmacy Technician and three (3) years related experience or equivalent combination of education and experience in the pharmaceutical, PBM, or managed care industries.

  • Strong Excel skills required

  • PowerPoint experience required

  • Specialized subject matter expertise in one or more of the following topics required:

  • Commercial HMO/PPO/POS
  • Medicare Part D
  • Mail Service/Specialty pharmacy
  • Pharmaceutical benefit design
  • Other facets of pharmaceutical, managed care, and PBM industries

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

Skills:

  • Proven experience in a customer-facing role.

  • Excellent communication skills.

  • Must be able to write effectively

  • Comfort with both phone and face-to-face communications

  • Familiarity with the pharmaceutical, managed care, and PBM industries

  • Familiarity with and ability to quickly learn multiple software tools

  • Claims Processing Platforms (extensive knowledge required)

  • CRM tools

  • Reporting platforms (must be able to write ad hoc queries in at least one reporting tool)

  • Intermediate level MS Office skills

Jobs Rated Reports for Pharmacist

Posted: 2020-01-29 Expires: 2020-04-02

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PHARMACY LIAISON - (121746)

Universal Health Services
Reno, NV 89501

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Pharmacist
33rd2018 - Pharmacist
Overall Rating: 33/220
Median Salary: $124,170

Work Environment
Good
59/220
Stress
Very Low
43/220
Growth
Poor
168/220
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