NE, USA
22 hours ago
Account Specialist, Pharmacy Services
**Job Description** **Job Summary** Responsible for ensuring Molina members have access to all medically necessary prescription drugs and that those drugs are used in a cost-effective, and safe manner. Responsible for creating, operating, and monitoring Molina Health Plan’s pharmacy services programs in accordance with all federal and state laws. **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and regulatory requirements. + Collaborate with other departments to secure the data and analysis necessary to support state reporting and delegation oversight (both internal and external). + Support and complete all audits as required (SOX, CMS, internal, Network). + Assist management by preparing and analyzing compliance/audit reports. + Assist in the implementation and oversight of processes, policies and procedures. + Prepare, research, and validate information for both internal and external program audits. + Other duties as assigned **Job Qualifications** **Required Education:** Associate’s Degree or equivalent combination of education and experience **Required Experience:** 3+ years managed care pharmacy or PBM experience **Required Knowledge, Skills and Abilities:** Strong results-oriented, Strong written, verbal and interpersonal skills; Ability to multi-task, prioritize and manage time effectively; Strong Computer skills; advanced Microsoft Office proficiency; detailed oriented, experience with handling large amounts of data, strong analytic skills; able to collaborate cross-functionally; experience working within a team **Preferred Education:** + Bachelor of Science **Preferred Experience:** Prior operational experience executing PBM and Specialty Pharmacy contracts on behalf of large payer(s) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $42.2 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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