4 days old

Pharmacy Specialist - Medicare

Camp Hill, PA 17011
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Business Group Highlights

Risk Decision

The Risk Decision group is a mission-critical provider of specialized investigative services to a broad range of organizations spanning the federal, intelligence and civilian sectors. Leveraging a nationwide footprint of highly experienced investigators and subject matter experts, we provide critical information to support sensitive decisions.

Responsibilities

Every day at Perspecta, we enable hundreds of thousands of people to take on our nations most important work. Were a company founded on a diverse set of capabilities and skills, bound together by a single promise: we never stop solving our nations most complex challenges. Our team of engineers, analysts, developers, investigators, integrators and architects work tirelessly to create innovative solutions. We continually push ourselvesto respond, to adapt, to go further. To look ahead to the changing landscape and develop new and innovative ways to serve our customers. Perspecta works with U.S. government customers in defense, intelligence, civilian, health care, and state and local markets. Our high-caliber employees are rewarded in many waysnot only through competitive salaries and benefits packages, but the opportunity to create a meaningful impact in jobs and on projects that matter. Perspectas talented and robust workforce14,000 strongstands ready to welcome you to the team. Lets make an impact together.

SafeGuard Services (SGS), a subsidiary of Enterprise Services, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

Since 1999, SGS has prevented more than $9.3 billion in inappropriate payments, consisting of over $5.8 billion in proactively Prevented Dollars and $3.5 billion in Recovered Dollars. Our experience with fraud and abuse analytics has resulted in the referral of hundreds of cases to law enforcement and resulted in successful criminal and civil prosecution and civil monetary penalties.

Qualifications

The Pharmacy Specialist (PS) shall possess:

Work Experience

Extensive knowledge of how prescription drugs are developed and managed. The PS must have a minimum of five (5) years experience in prescription drug benefit management, which must include a minimum of three (3) years experience managing a prescription drug formulary, medication therapy management, and drug interaction program. The PS shall have experience in the development of plans and the review of claims to ensure clinically appropriate utilization. This shall include experience in claims analysis, claims data review for abnormalities, auditing of claims, and setting up edits and audits to ensure proper utilization of benefits. The PS shall also have knowledge and experience concerning the current uses of medications, new or emerging issues, issues related to electronic prescribing, among other general knowledge and experience in the prescription drug benefits. A minimum of one (1) to two (2) years experience working in a retail pharmacy as a licensed pharmacist is strongly preferred.

Knowledge of and experience with the Medicare program including Parts C and D, regulations, manuals, coverage and payment rules.

Educational Requirements

The PS must be a board certified pharmacist with a Doctorate of Pharmacy (Pharm.D)

and trained in Biochemistry, Chemistry and Pharmacokinetics. Degree must be obtained from an accredited institution. Must be licensed to practice pharmacy in a state, territory of the United States, or the District of Columbia.

About Perspecta

What matters to our nation, is what matters to us. At Perspecta, everything we do, from conducting innovative research to cultivating strong relationships, supports one imperative: ensuring that your work succeeds. Our company was formed to bring a broad array of capabilities to all parts of the public sectorfrom investigative services and IT strategy to systems work and next-generation engineering.

Our promise is simple: never stop solving our nations most complex challenges. And with a workforce of approximately 14,000, more than 48 percent of which is cleared, we have been trusted to just that, as a partner of choice across the entire sector.

Perspecta is an AA/EEO Employer - Minorities/Women/Veterans/Disabled and other protected categories.

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As a government contractor, Perspecta abides by the following provision
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Industry

  • Information Technology

Jobs Rated Reports for Pharmacist

Posted: 2020-04-02 Expires: 2020-05-02

With offerings in mission services, digital transformation and enterprise operations, our team of 14,000 engineers, analysts, investigators and architects work tirelessly to create innovative solutions. We have the expertise and experience not only to devise solutions, but to execute on them successfully.

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Pharmacy Specialist - Medicare

Perspecta
Camp Hill, PA 17011

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

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Growth
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