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Senior Pharmacy Operations Specialist

Company: Kforce Finance and Accounting
Location: Detroit
Posted on: September 23, 2022

Job Description:

RESPONSIBILITIES:Kforce has a client that is seeking a Senior Pharmacy Operations Specialist in Detroit, MI. Summary: This role supports the day-to-day operations of the organization's pharmacy benefit, including vendor oversight, performance reporting, analysis of pharmacy claims data and assisting with functions related to formulary management.Job Requirements:REQUIREMENTS:

  • Bachelor's degree in Business, Business Analytics or Data Analytics required; Master's degree in Business, Business Analytics or Data Analytics or Pharmacy Technician, Master's degree preferred
  • A minimum of five years of experience working in pharmacy benefit operations administration
  • Minimum of 3-5 years of experience working within a Health Plan, PBM, employer group or integrated health care system
  • Must have some experience working with pharmacy formularies and pharmacy clinical programs, administered for a health plan, specialized vendor, or employer group
  • Experience working with pharmacy data, benefit administrative processes and process improvements including measurement, evaluation, and cost outcomes
  • Working knowledge of performance metrics of health care providers, managed care pharmacy benefits, or PBM
  • Must have the capacity to establish and articulate program planning, evaluation, metric development, and reporting
  • Strong analytical skills with proven ability to analyze information to identify patterns
  • Ability to articulate health care information to non-health care audience
  • Demonstrated ability to interpret pharmacy data, prepare and present findings with recommendations including relevant performance metrics
  • Demonstrated ability to work collaboratively among an integrated team of professionals
  • Medicare and/or Medicare Advantage experience preferred
  • Proficient in Microsoft Office, including Word, PowerPoint, Excel, and Access
  • Must possess a valid driver's license or state identification Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Keywords: Kforce Finance and Accounting, Detroit , Senior Pharmacy Operations Specialist, Healthcare , Detroit, Michigan

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