Change Healthcare Pharmacy Account Director-Pharmacist in Las Vegas, Nevada
Pharmacy Account DirectorOverview of Position
The Pharmacy Account Director will manage all Contract requirements and services for all the Nevada Pharmacy Benefit Management (PBM) Programs. The Account Director shall be one hundred percent (100%) dedicated to the Nevada PBM Programs. As part of Change Healthcare’s Pharmacy Benefit Administration (PBA) business unit, the Pharmacy Account Director will provide strategic leadership and direction for the delivery of enterprise-level support and service activities for PBA’s Nevada Medicaid client. The successful candidate will act as a liaison, on behalf of PBA, between the customer, technical support, product development, sales, and field service. There is a strong preference for the position to be based in Change Healthcare’s Nevada office. Initially, the position may be remote due to Covid-19 restrictions.
What will be my duties and responsibilities in this job?
Responsible for managing and maintaining the relationship with the client of the account(s) they are managing
Manages single PBM which may include Clinical Services:
Clinical services may include clinical and administrative services related to PDL, SR, SMAC, RetroDUR, P&T Committee support, file transfers and maintenance, preparation of weekly drug file and post-P&T Committee meeting updates, maintenance for preferred drug list including budgetary and clinical reports
PBM services include all clinical and administrative services related to online and real time claims adjudication, ProDUR/Concurrent DUR, SMAC, Rebate, file transfers and maintenance, review and maintenance for preferred drug list including budgetary and clinical reports, logistical support for State meetings
Accountable for appropriate representation at pharmacy-related Boards and Committees (e.g., Nevada Board of Pharmacy, DUR Board, Silver State Scripts Board, Medical Care Advisory Committee, etc.)
Prepares, facilitates, and develops minutes of status meetings (frequency as required by contract and/or customer needs)
Assists with fiscal operations where applicable (provider enrollment paperwork, answering questions from pharmacies trying to enroll, help processing checks, and TPL processing)
Reviews PA’s as necessary (staff on PTO/increase PA load)
What are the requirements needed for this position?
3+ years in a pharmacy benefit management or retail pharmacy setting
Required: PharmD or Bachelor of Pharmacy degree
Required: Licensed pharmacist in good standing, Nevada license preferred.
2+ years of account management experience in the healthcare industry, specifically in Pharmacy Benefit Management or a large healthcare organization
Knowledge of Medicaid and NMAP claims processing and pharmacy benefit management
Qualified to work for federal programs
Ability to meet position metrics goals (KPI’s)
Experience managing multi-disciplinary teams of resources including administrative functions required
Proficiency with Microsoft Office Suite
What other skills/experience would be helpful to have?
- 5+ years of advanced knowledge of Medicaid and/or Pharmacy Benefit Management
What are the working conditions and physical requirements of this job?
General office demandsHow much should I expect to travel?
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
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Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
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Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
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