Admin/Operations Support

Job Description

Job Description

Overview

The PBM Operations Support role performs a variety of tasks in support of the Pharmacy Benefit Management (PBM) department. This will include both daily tasks and strategic projects.

Shift: 20-30 hours/week, Monday-Friday, flexible hours

Responsibilities

• Performs general administrative functions in support of the PBM team
• Proactively notifies network pharmacies (LTC/SNF/ALF) of patient election to hospice and the medications covered/not-covered for each patient
• Ensures patient eligibility is accurate within the OnePoint Patient Care processing system
• Assists with various questions from network pharmacies
• Assists with state compliance/audit requests
• Assists with special projects as required
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

• High School Diploma or equivalent
• One year of related experience
• Excellent relationship management skills with the ability to work effectively with management and staff at all levels both internally and externally
• Self-starter who is able to work independently and communicate effectively to include both verbal and written communication
• Experience with Windows software programs including but not limited to Excel.
• Strong organizational and planning skills