Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!
Status: Full Time, Exempt
This individual will perform and be cross trained in selected departmental job functions as assigned. These include but are not limited to: Working as part of team to coordinate all aspects of P T Committee, with appropriate notification to physician, member, and vendor; Responsible for pharmacy clinical and administration functions to support and optimize formulary strategy for the Medicare line of business. Supporting the QI pharmacy initiatives, as well as disease state management functions of the pharmacy department; Providing drug related and benefit information to member services, provider relations, utilization management and medical directors; Supporting audit related activities; Evaluating and identifying aberrant prescribing patterns from prescription and medical claims data, with potential physician consultation; Creating and distributing physician and member educational materials. Performs special projects and other duties as assigned.
POSITION QUALIFICATIONS
Minimum Education:
BS degree in Pharmacy or Pharm. D.; Current registration and licensure by New York State Board of Pharmacy or ability to obtain licensure prior to employment.
Minimum Experience:
Minimum of 5 years as a licensed, practicing pharmacist in a retail practice or 3 years in a non-dispensing clinical practice. Minimum of 2 years in a health care environment or managed care pharmacy, or residency preferred. Medicare formulary, prior authorization, and/or audit experience preferred.
Required Skills:
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Ability to work well in a team environment with internal and external customers, practitioners, and members.
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Excellent customer service skills and ability to deal with stressful situations in a calm and diplomatic manner.
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Exceptional organizational and strong written and verbal communication skills.
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Exceptional clinical skills and ability to independently apply sound clinical judgement to a variety of situations.
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Superior attention to detail and time management skills; strong project management skills.
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Familiarity with Microsoft Office Suite
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Familiarity with healthcare benefits, pharmacy and medical terminology, and pharmacy claims adjudication process.
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Ability to sit at a workstation for long periods of time in front of a computer.
About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.
At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
In addition, we offer a comprehensive benefits package that includes:
* Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.
* Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
* Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
* Life insurance and disability coverage to ensure financial security for you and your dependents.
* An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
* Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
* A best-in-class employee Well-Being program to support all dimensions of your health and wellness.
MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about totalcompensation and benefits will be provided during the hiring process.
MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
Please apply and learn more - including how you may become a proud member of our team.
Other details
* Job Family Pharmacy
* Pay Type Salary
* Min Hiring Rate $98,631.00
* Max Hiring Rate $193,609.00
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