Liaise with Health Plan Product Development and Marketing to design, implement, and administer new Pharmacy Benefits products and modifications to current Pharmacy Benefits for marketing to customers, including updating Pharmacy Information Management Systems, Membership and Eligibility, and other systems.

*** Collaborate with Health Plan Product Development and Marketing to design, develop, and implement new Pharmacy Benefits and modifications to new benefits.

*** Ensure successful programming and implementation of new and modified benefits language and terms into Pharmacy Information Management Systems, Membership and Eligibility, and other systems.

*** Coordinate with Pharmacy and Health Plan leaders to ensure new or modified benefits are implemented at customer interfaces in both internal and external pharmacy systems.

*** Implement, administer, and monitor Commercial, Medicare, Self-funded, Exchanges, Medicaid drug benefits, including formulary and benefit updates and member eligibility feeds.

*** Monitor pharmacy fee schedules, including operational updates to ePIMS systems and CMS reporting for Medicare Plan Finder.

*** Oversee pharmacy benefit technical functions including reporting, remediation, Prescription Drug Events, and monitoring.

*** Provide expert feedback on proposed regulations and legislation related to pharmacy benefits.

*** Manage pharmacy benefit vendors, including claim adjudication, audits, network management, and other delegated administrative activities.

*** Participate in marketing and education of health plan staff and external audiences regarding Pharmacy Benefits.

*** Develop pharmacy responses for Requests for Proposals from employer groups for regional and national accounts.

Excellent job satisfaction, hard working team members, flexible upper management, and ability to act as the captain of your ship. Competitive compensation package commensurate with experience. Annual bonus potential based on productivity and performance - company recognizes and rewards excellence. Paid time off from start with paid holidays and vacation time. Full benefits package including medical, dental, and vision plans.

For complete details contact Kevin Meller at:
(609) 584-9000 ext 273

Or submit resume online at:
http://dmc9.com/kpm/app.asp

Or email to:
1000040257_10007361@jobbank302.com

Please reference #38811131 when responding.

5+ years

Ohio

$150,000.00

$250,000.00

Kevin Meller

(609) 584-9000 ext 273

1000040257_10007361@jobbank302.com

http://dmc9.com/kpm/app.asp

WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: http://najobbank.com www.najobbank.com Top 10 Job Site Top 10 Careers Site Business Development Pharmacy Benefits Management Pharmacy Benefits Manager Prescription Benefits Management PBM Medicare Benefits Medicaid Benefits Prescription Plans Sales Executive #DiedreMoire #BusinessDevelopment #Marketing #PharmacyBenefitsManagement #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting

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