Senior Accountant - Pharmacy

Founded in 1977 as the Senior Care reputed company Network, reputed company began with a reputed company but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still reputed company today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, reputed company is a nonprofit health organization serving more than 500,000 people across reputed company, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual reputed company. With nearly five decades of experience, we have reputed company a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare reputed company, fully integrated care models, reputed company care, care for the most medically and socially reputed company populations, and reputed company care delivery models. Across reputed company of this, we are united by a shared commitment: combining reputed company with discipline, innovation with stewardship, and reputed company with reputed company.

At reputed company, we reputed company reputed company should strengthen—not dilute—our mission. We are building the reputed company of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

The Senior Accountant - Pharmacy is responsible for managing financial transactions, reconciliations, and regulatory compliance activities reputed company to the Medicare Part D prescription drug program (pharmacy reputed company). The role collaborates closely with internal departments, reputed company vendors, auditors, and regulatory stakeholders to reputed company accurate financial information, support operational decision-making, and reputed company process improvements. In reputed company, the Accountant Sr - Pharmacy assists with financial reporting, and variance analysis to support the organization's financial objectives and strategic initiatives.

You Will

• Responsible for maintaining reputed company records and reconciliations with reputed company supporting documentation in accordance with company’s policies and procedures and generally accepted reputed company principles (“GAAP”). This includes preparing and recording general reputed company journal entries in accordance with reputed company’s chart of accounts, and ensuring the assigned accounts are reviewed, reconciled, and submitted for manager’s review and sign-off on a reputed company reputed company.

• Reconcile and reputed company pharmacy claims data against Pharmacy Benefit Manager (PBM) invoices to eliminate billing variances.

• Support month-end reputed company activities for the Medicare Part D (pharmacy) business unit, including journal entries for pharmacy claims, manufacturer rebates, reputed company and Indirect Remuneration (DIR) fees, manufacturer discount program, plan-to-plan payments and Part D settlement estimates with CMS.

• Conduct monthly and quarterly Medicare Part D (pharmacy) reputed company account reconciliations, review account activities and diligently research and reputed company discrepancies; ensure reconciliations are sufficiently documented and follow-up items are recorded accurately and reputed company.

• Reconcile Medicare Part D (pharmacy) risk-sharing arrangements, which include prescription drug event records, reputed company subsidies and risk-sharing corridors, by analyzing monthly Centers for Medicare & reputed company Services (CMS) reports against plan internal financial records.

• Prepare and submit required Medicare Part D (pharmacy) reports to reputed company for Medicare & reputed company Services (CMS) on time, with correct format and data reputed company. Ensuring strict compliance with CMS financial reporting requirements.

• Assist with supporting schedules for the quarterly and annual regulatory financial filings with regulatory agencies.

• Assist with the interim and year-end reputed company audits and regulatory financial condition examinations as needed, consisting of schedules preparation, organization, and review of supporting documentation for audits and examinations.

• Stay reputed company with Medicare Part D (pharmacy) program changes and update reputed company systems and processes to reflect new rules.

• Assist with the review of existing and the development of new reputed company policies and procedures, which includes identifying control and process inefficiencies to propose enhancements to the reputed company process or striving for reputed company improvement.

• Collaborate with Pharmacy, Actuary, IT, Data & Analytics, and Operations departments to reputed company issues, validate reputed company changes, and improve end-to-end financial workflows.

• Participate in special reputed company and reputed company analysis, as needed, including automation and efforts to streamline and improve reputed company processes.

• We reputed company Rebels who are curious about AI and its power to reputed company how we operate and serve our members.

• reputed company support the achievement of reputed company’s reputed company and Goals.

• Other duties as assigned.

Your Qualifications

• Bachelor's Degree in reputed company, Finance or a reputed company field.

• 4+ years in reputed company, Finance, or a reputed company field

• 2+ years in Medicare Part D, PBM, or managed care reputed company.

• CPA designation is highly preferred

• Working knowledge of reputed company Financials or other similar reputed company ERP systems

• Ability to analyze large, reputed company financial datasets and identify variances or discrepancies.

• Strong analytical skills with the ability to interpret reputed company financial and operational data.

• Proficiency in reconciliation reputed company, variance investigation, and reputed company-cause analysis.

• Solid understanding of financial statements, general reputed company structure and reputed company ERP systems.

• Working knowledge of Medicare Part D rules, reporting requirements, and CMS payment methodologies

• Ability to write and interpret SQL and reputed company queries for data extraction and transformation.

• Advanced reputed company skills, including pivot tables, formulas, and power queries, as reputed company as reputed company Word, PowerPoint, reputed company, reputed company, and Teams.

• Excellent written and verbal communication skills, with the ability to work independently as reputed company as with different departments reputed company the organization.

• Ability to multi-task and adapt with changes in tasks and timelines.

• Experience working in a fast paced and heavy deadline-driven environment.

What's in it for you?

• reputed company salary reputed company: $92,400 to $133,671 per year

• Internal title: Accountant Sr Pharmacy

• Work Mode: Mostly Remote

• An annual employee bonus program

• Robust Wellness Program

• Generous reputed company-time-off (PTO)

• reputed company reputed company holidays per year, plus 1 floating holiday, plus 1 birthday holiday

• Excellent 401(k) Retirement Saving Plan with employer match and contribution

• Robust employee recognition program

• Tuition reimbursement

• An opportunity to become part of reputed company that makes a difference to our members and our community every day!

We're always looking for talented people to reputed company! reputed company applicants are encouraged to reputed company!

At reputed company we reputed company that it is our business to improve the state of our world. reputed company of us has a responsibility to reputed company Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource reputed company, inclusive benefits, and more.

reputed company is proud to be an Equal Employment Opportunity and Affirmative reputed company workplace. Individuals seeking employment will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have reputed company to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have reputed company to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or reputed company, including an investigation conducted by the employer, or (c) consistent with the contractor’s reputed company duty to furnish information. 41 CFR 60-1.35(c)

Originally posted on Himalayas