Pharmacy Provider Fee Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4741115)  Pharmacy Provider Fee Specialist Salary Depends on Qualifications Location Baton Rouge, LA Job Type Unclassified Job Number R-001586 Department University of New Orleans Opening Date 11/25/2024 + Description + Benefits Supplemental Information Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Pharmacy-Provider-Fee-Specialist\_R-001586) to apply + Initiates, coordinates, and maintains all aspects of the pharmacy provider fee program. + Communicates and collaborates with state agencies, pharmacy providers, specific LDH departments, legislators, LA Board of Pharmacy, and advocacy groups. + Reviews Medical Assistance Trust Fund (MATF) waiver requests from pharmacies. + Manipulates, analyzes, and interprets large groups of data sets. + Works independently and efficiently. + Creates policy and procedures around provider fee process including the LDH fiscal department. + Performs reconciliation of quarterly payment. + Collaborates with other State agencies to consider potential benefits that could be derived from establishing an all-payers claims data base, which would be inclusive of claims data from public and private payers. + Reviews the statutory language and sets clear standards for which out?of?state providers have to submit the provider fee, as well as noncompliant pharmacies. + Coordinates between agencies and reports to utilize a common identifier for pharmacies. + Compares quarterly provider fee reports and trend data over time to recognize changes to reporting, and researches the differences from previous quarters. + Provides education to pharmacy providers regarding the provider fee requirements. + Communicates with the Louisiana Department of Insurance when Pharmacy Benefit Managers (PBM) are found to be non-compliant with Louisiana Revised Statute 46:2625. + Other tasks as directed. QUALIFICATIONS REQUIRED: + Bachelor’s Degree or Associate’s degree plus 3 years of professional experience, or 6 years of professional work experience. + Minimum three years professional experience in data/statistical analytics, and reporting. + Minimum three years professional experience utilizing data visualization tools. + Minimum three years of professional experience in managing projects and coordinating on multi-agency projects. + Strong verbal and written communications skills and ability to communicate technical concepts to technical and non-technical audiences. + Excellent analytical, problem-solving, organizational and time management skills. + Great attention to detail and follow up, and strong verbal/written communications skills. + Works well both independently and as part of a team. + Ability to set, follow, and meet deadlines. + Proficient in the use of Microsoft Office Suite (Word, Excel, PowerPoint, Access and Outlook). DESIRED: + Advanced degree in computer science, Health Informatics, or related field. + Minimum 4 years of practical experience in data/statistical analytics and reporting. + Minimum 4 years of professional experience utilizing data visualization tools. + Minimum 4 years of professional experience in managing projects and coordinating on multi-agency projects. + Minimum 1 year professional experience with general accounting principles. Benefits for unclassified employees are determined by the individual hiring authority. Employer State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Please verify your email addressVerify Email