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Company

Curative · 3 hours ago

Pharmacy Program Manager

Austin, TX

Full-time

Remote

Entry, Mid Level

2+ years exp

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Health CareHealth Diagnostics

H1B Sponsor Likely

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Responsibilities

Supports and manage health plan operations and ensures PBM aligns with benefit design

Provides monthly updates for formulary and support submissions to PBM

Reviews and manages PA guidelines for support of P&T committee and pharmacy benefit design

Collaborates with key stakeholders and other interdepartmental staff to communicate pharmacy strategies and clinical programs or initiatives

Supports the management and implementation of new employer groups

Performs related audits, quality assurance checks and ETE testing where necessary

Develops applicable desktop procedures

Provides training and education materials to key departments such as Member Services and Account Management

Performs analytics and reporting data for leadership

Works closely with Marketing to develop appropriate member communications

Reviews and resolves complaints made by members and providers regarding formulary or pharmacy services

Develops and manages pharmacy FAQ

Supports the Pharmacy and Therapeutics Committee quarterly preparation and Meetings

Supports and manages other related health plan operations

Evaluates opportunities for operational or process improvements

Work adhering to US regulatory and Quality System requirements (21 CFR 820, etc).

Performs other duties as assigned

Work hours Monday - Friday

Qualification

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Managed Care experiencePBM experiencePharmacy Technician licenseClaims processingMS Office proficiencyPharmacy drug recognitionProject Management certification

Required

2 years of Managed Care or PBM experience

Possesses strong analytical skills and detail oriented

Ability to work independently with minimal supervision

Ability to collaborate and communicate with team members and other internal departments

Understanding of claims processing and claims edits

Proficient with MS Office applications- Word, Power Point, Excel, and Access

Intermediate to advanced pharmacy drug recognition

Ability to work in a dynamic and fast-paced environment

Bachelors degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.

Must possess an active Pharmacy Technician license in the applicable PTCB.

Preferred

Current Project Management certification

Company

Curative

Glassdoor

3.2

Employer-sponsored health insurance with No Copays, No Deductible. No... Really.

Founded in 2020

Austin, Texas, USA

201-500 employees

https://curative.com

H1B Sponsorship

Curative has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2022 (2)

2021 (4)