Pharmacy Benefit & Compliance Specialist

Role Overview

• 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
• 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
• Collaborates with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs

Requirements

• HS
• High School Grad or Equivalent REQUIRED
• Managed Care
• 1 year REQUIRED
• Compliance
• 1 year highly preferred
• Pharmacy or Pharmacy Benefit Management (PBM) system experience preferred
• Strong proficiency in Microsoft Office Suite especially Excel preferred
• Experience in SQL a plus

Tech Stack

• SQL

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.