Pharmacy Quality Specialist

Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents, and health plan members, and we will take care of the rest!

Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

Perform duties to support the efforts to meet the Pharmacy Department goals and initiatives, which include improvement of Part D Stars measures. These duties involve administrative and technical support to ensure that all activities and deliverables are prepared and maintained in a professional and well-coordinated manner to comply with all Part D regulations and guidance. This position will oversee the medication adherence program initiatives as directed by the VP of Pharmacy. Responsible for reports and deliverables needed by the Pharmacy Department to meet all Part D regulations and departmental goals.

Qualifications

• Associate’s degree required. Bachelor’s degree preferred.
• 1-3 years of experience in analyzing pharmacy claims data to identify trends and summarize outcomes, Knowledge of Part D regulations, PBM and Star Quality measures for Medicare is strongly preferred.
• Computer literate, including Windows, Excel, Word, Visio, and data base programs required.
• Expertise in PowerPoint and Excel is strongly needed.

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