Clinical Pharmacy Support Specialist

Arizona, Rhode Island, Utah

Job Description

Creates and analyzes reports assessing client plan performance. Supports account teams including Pharmacist Account Managers, Account Executives, Account Managers and Account Specialists.

Essential Functions


- Researches, resolves and documents formulary changes and issues within internal systems.
- Communicates plan design parameters including prior authorization criteria, benefit coverage and formulary information to clients and account teams.
- Researches client topics of interests and aids in presenting to clients.
- Researches, resolves and documents client inquiries.
- Participates in internal and external clinical meetings to support and present relevant information as requested.
- Provides research on prior authorization or plan issues as requested by clinical lead.
- Provides analysis of reports in support of client plan performance.
-Assist with data preparation, validation, and loading into clinical support systems for execution of clinical programs
-Assist with the development of clinical program outreach materials, documentation, and workflow processes
- Responds to internal and external requests for information within scope of assigned responsibility and departmental guidelines.
- Assists staff members with more complex and detailed projects such as setting-up and maintaining tracking systems, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, data or records.
- Coordinates or independently completes special projects such as presentation materials.
- May assist and participate in regularly scheduled meetings. Activities include agenda preparation, preparing minutes and ensuring follow-up on identified tasks.
- Performs other duties as required.

Creates and analyzes reports assessing client plan performance.  Supports account teams including Pharmacist Account Managers, Account Executives, Account Managers and Account Specialists.

Essential Functions


-  Researches, resolves and documents formulary changes and issues within internal systems.
-  Communicates plan design parameters including prior authorization criteria, benefit coverage and formulary information to clients and account teams.
-  Researches client topics of interests and aids in presenting to clients.
-  Researches, resolves and documents client inquiries.
-  Participates in internal and external clinical meetings to support and present relevant information as requested.
-  Provides research on prior authorization or plan issues as requested by clinical lead.
-  Provides analysis of reports in support of client plan performance.
-Assist with data preparation, validation, and loading into clinical support systems for execution of clinical programs
-Assist with the development of clinical program outreach materials, documentation, and workflow processes
-  Responds to internal and external requests for information within scope of assigned responsibility and departmental guidelines.
-  Assists staff members with more complex and detailed projects such as setting-up and maintaining tracking systems, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, data or records.
-  Coordinates or independently completes special projects such as presentation materials.
-  May assist and participate in regularly scheduled meetings. Activities include agenda preparation, preparing minutes and ensuring follow-up on identified tasks.
-  Performs other duties as required.

General Job Information

Title

Clinical Pharmacy Support Specialist

Grade

18

Job Family

Sales Group

Country

United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date

8/15/2019

Date Requisition Created

8/15/2019

Work Experience

Pharmacy

Education

GED (Required), High School (Required)

License and Certifications - Required

CPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

License and Certifications - Preferred

Other Job Requirements

Responsibilities

College degree preferred.Employees in states which require a Pharmacy Technician Certification exam, may substitute state certification for the PTCB. In-depth knowledge of prescription drugs including specialty drugs, disease states and therapy classes, health plan formulary management techniques, prescription plan benefit designs, current healthcare industry news and trends. Ability to quickly learn various computer systems and software. Proficiency in MS Office. Strong analytical skills. Ability to multi-task and prioritize in order to meet short turnaround times. Excellent written and verbal communication skills. Ability to identify and solve problematic issues both internally and externally.Minimum 2 years pharmacy experience in retail, mail order, MCO, health plan, PBM or like setting.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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