Pharmacy Benefit & Compliance Specialist

170 Sentara Health Plans, Inc.
Sentara Health Plans Virginia Beach, VA Full Time
POSTED ON 2/14/2023 CLOSED ON 6/10/2023

Job Posting for Pharmacy Benefit & Compliance Specialist at 170 Sentara Health Plans, Inc.

City/State Virginia Beach, VA Overview Work Shift First (Days) (United States of America) Job Summary This position is responsible for supporting the Pharmacy Department's day-to-day operations for the benefits and compliance of all products and lines of business. Provides subject matter expertise related to analysis, implementation, and process improvement activities in support of the Pharmacy Department. The Pharmacy Benefit & Compliance Specialist creates and maintains reports for business operations and special projects as it pertains to operational processes. Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business. Assists in the implementation, maintenance and improvement of information systems. The person should listen carefully to others in order to respond appropriately and professionally, answer questions, or obtain needed information with respect to pharmacy issues. This position will strongly collaborate with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs. Qualifications: BLD - Bachelor's Level Degree, BLD - Bachelor's Level Degree: Business Administration/Management, BLD - Bachelor's Level Degree: Business Management, BLD - Bachelor's Level Degree: Healthcare Management Compliance, Managed Care Skills Communication, Critical Thinking, Microsoft Office, Monitoring, Operations Analysis, Quality Control Analysis Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission “to improve health every day,” this is a tobacco-free environment. Sentara Healthcare is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15 years. Sentara offers professional development and a continued employment philosophy!
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Salary.com Estimation for Pharmacy Benefit & Compliance Specialist in Sentara Health Plans Virginia Beach, VA
$36,637 to $46,955
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