Create a Job Alert.

Enter your email below to save this search and receive job recommendations for similar positions.
Thank you. We'll send jobs matching these to
You already suscribed to this job alert.
US
0 suggestions are available, use up and down arrow to navigate them
What job do you want?

Pharmacy Manager job in Newtown Square at Amerihealth

Create Job Alert.

Get similar jobs sent to your email

List of Jobs

Apply to this job.
Think you're the perfect candidate?
Pharmacy Manager at Amerihealth

Pharmacy Manager

Amerihealth Newtown Square, PA Full Time


Job Brief

- Coordinates daily tasks of Certified Pharmacy Technicians- Bachelor’s Degree in related field required- National Pharmacy Technician Certification required- Minimum 5 years pharmacy claims processing and managed care experience required

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at [ Link removed ] - Click here to apply to Pharmacy Manager.

Summary:

Reporting to the Corporate Director of Pharmacy, the Pharmacy Manager coordinates the daily responsibilities of pharmacy technical staff (Certified Pharmacy Technicians) in the administration of the pharmacy benefit at the Health Plan level for the Medicaid, Exchange and Medicare lines of business in support of the Market Pharmacy Directors.

Responsibilities: 

  • Assists in researching and resolving pharmacy issues, and oversees all aspects of the approval and authorization processes for drugs and covered medical supplies  
  • Provides support to the Marketing and Customer Service staff, enabling them to assist members in understanding and utilizing pharmacy benefits
  • Develops standardized reporting and process to analyze data in support of Health Plan initiatives, to track PBM claims processing request implementation and accuracy, and maximize positive results in the areas of service, cost and quality  
  • Coordinates Quarterly P&T and DUR meetings, and acts as a liaison between the Health Plans and the internal Pharmacy Benefit Manager, Perform Rx  
  • Responsible for execution of the plan lock-in programs and pharmacy appeals reconsiderations process  
  • Provides direction, training, and monitoring of employee performance
  • Assists in new business implementations

Education/Experience:

  • Bachelor’s Degree in related field required
  • Active/current National Pharmacy Technician Certification (i.e., ExCPT, NCCT, PTCB) required
  • Minimum five (5) years of current/recent pharmacy claims processing and managed care experience required
  • Working knowledge of MS Word, Excel and PowerPoint required

 

Recommended Skills

  • Appeals
  • Medicaid
  • Managed Care
  • Medicare
  • Medical Equipments
  • Claims
Apply to this job.
Think you're the perfect candidate?

Help us improve CareerBuilder by providing feedback about this job:

Job ID: 7055_21916

CareerBuilder TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.