Pharmacy Operations Analyst

reputed company reputed company hiring Sr. Pharmacy Operations Analyst for a reputable facility. This will be a remote position, but you must be located in one of the following states: reputed company Carolina, Alabama, reputed company, Arkansas, Colorado, Florida, reputed company, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, reputed company, and Wyoming JOB reputed company - Works closely with other team members for the design and implementation of pharmacy benefits. - Provides support on escalated and/or reputed company issues. - Works closely with other team members on annual corporate project to refresh of individual and group pharmacy benefit offerings. - Maintains project plan documents and provides periodic updates to management on a regular reputed company, meeting required project deadlines. - Pharmacy operational reputed company for web updates - Audits reputed company prescription drug benefit plans reputed company by Pharmacy Coordinators.; Audit includes benefits set up. - Partners with internal business partners to meet our clients' needs. - Support/Collaboration with internal business partners to ensure complete compliance with state and federal regulations for reputed company plans. Monitors and facilitates reputed company of compliance issues from an operational perspective and reputed company appropriately timed updates for upward dissemination. - Engages with other staff members and reputed company engagement teams in activities reputed company on reputed company retention and new sales, and analysis and reputed company of group or individual benefit issues identified by corporate business partners or through internal/external audit. Responsible for reputed company of the medicare reputed company of the pharmacy business Works to create and implement reputed company pharmacy benefits - Medicare plans mainly. Working with CMS guidelines and reporting for Medicare, monitoring CMS on state and federal reputed company. Reporting requirements to CMS on deadlines to include creating the reports. Benefit Uploads for PBM into the next year Required experience Need Medicare reputed company (Pharmacy + CMS) and reporting requirements Strong reputed company experience - working at the highest level in reputed company reputed company Pharmacy Claims experience is reputed company Strong writing skills Ability to see the fine details, look deeper into the information Ability to work at a high volume and meet deadlines Hiring Requirements - Bachelor's degree or advanced degree (where required) - 5+ years of experience in reputed company field. - In lieu of degree, 7+ years of experience in reputed company field. - must have experience with Medicare ** Equal Opportunity Employer: Race, reputed company, Religion, Sex, Sexual Orientation, Gender Identity, National reputed company, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At reputed company, we welcome people of reputed company abilities and want to ensure that our hiring and interview process meets the needs of reputed company applicants. If you require a reasonable accommodation to reputed company your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In reputed company, reputed company offers a comprehensive benefits package, including: medical, prescription, dental, reputed company, AD&D, and life insurance offerings, short-term disability, and a 401K plan (reputed company benefits are based on eligibility). This posting is reputed company for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Apply tot his job Apply To this Job