[Hiring] Pharmacist SME – Medicare Part D @Pathfinder Group
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Role Description
This position is great fit for pharmacists who enjoy working with data and using their strong problem-solving skills. Retail-only experience is not a good fit for this position.
• Support the Client’s Investigations MEDIC contract in the detection and prevention of Medicare Part C and Part D fraud, waste, and abuse.
• Serve as a subject matter expert in assisting auditors, data analysts, and other designated staff conducting data and investigative analysis.
• Lead projects involving the proactive identification of vulnerabilities and data analysis to identify and detect fraud, waste, and abuse.
• Facilitate and manage assigned projects and contracts relating to pharmacy services.
• Lead and provide oversight to assigned tasks and contracts, ensuring contract specifications are understood and tasks are assigned appropriately.
Qualifications
• Registered pharmacist, Bachelor’s degree in pharmacy, with Master's degree in pharmacy or Pharm.D.
• Three to five years’ experience in practice (retail, health-systems, consulting, industry or academia).
• Medicare Part D Plan, managed care plans, or PBM experience strongly preferred.
• Experience in areas such as coverage determination, administration of formularies, auditing claims for payments of pharmacy benefits required.
• Compounding and/or tele prescribing experience is a plus.
• Intermediate-level and above ability to use Excel is required.
• Writing skills sufficient to ensure timely and accurate completion of contract deliverables. A writing sample may be requested.
Requirements
• Active, current and non-restricted Registered Pharmacist (RPh) license in the areas required by the contract.
Company Description
Apply Now
Apply Now
Role Description
This position is great fit for pharmacists who enjoy working with data and using their strong problem-solving skills. Retail-only experience is not a good fit for this position.
• Support the Client’s Investigations MEDIC contract in the detection and prevention of Medicare Part C and Part D fraud, waste, and abuse.
• Serve as a subject matter expert in assisting auditors, data analysts, and other designated staff conducting data and investigative analysis.
• Lead projects involving the proactive identification of vulnerabilities and data analysis to identify and detect fraud, waste, and abuse.
• Facilitate and manage assigned projects and contracts relating to pharmacy services.
• Lead and provide oversight to assigned tasks and contracts, ensuring contract specifications are understood and tasks are assigned appropriately.
Qualifications
• Registered pharmacist, Bachelor’s degree in pharmacy, with Master's degree in pharmacy or Pharm.D.
• Three to five years’ experience in practice (retail, health-systems, consulting, industry or academia).
• Medicare Part D Plan, managed care plans, or PBM experience strongly preferred.
• Experience in areas such as coverage determination, administration of formularies, auditing claims for payments of pharmacy benefits required.
• Compounding and/or tele prescribing experience is a plus.
• Intermediate-level and above ability to use Excel is required.
• Writing skills sufficient to ensure timely and accurate completion of contract deliverables. A writing sample may be requested.
Requirements
• Active, current and non-restricted Registered Pharmacist (RPh) license in the areas required by the contract.
Company Description
Apply Now
Apply Now