Pharmacist - Medicare Part D
Orchard LLC

Job Info

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Pharmacist SME - Medicare Part D
Work from Home within the Continental United States

@Orchard LLC is supporting a not-for-profit corporation that partners with public and private sectors to create high-quality, safe, and efficient delivery of health care and human services programs. Our client has multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our client is also a national leader in fighting fraud, waste, and abuse for large organizations across the country. In addition, our client operates a foundation providing grant opportunities to those with programs for under-served communities.

We have an exciting opportunity for a Pharmacist with Medicare Part D experience preferably in a Managed Care/Provider Benefit Manager setting. This position will support the Program Audits conducted by the Centers for Medicare and Medicaid Services. The ideal candidate will have experience with Medicare Formulary Administration and/or Medicare Part D Coverage Determinations, Appeals and Grievances. This position can be home-based in most areas of the continental US. They will be responsible for facilitating and managing assigned projects and contracts relating to pharmacy services. Leads and provides oversight to assigned tasks and contracts, making sure that contract specifications are understood, tasks are assigned appropriately, and information is available and circulated.

Essential Duties and Responsibilities include the following:

• Manages the day-to-day operations of assigned projects, as well as inter-project and cross-setting coordination of resources among projects; and contracts including facilitation and communication of resolution of barriers.
• Prioritizes, delegates, and accomplishes tasks and programs independently and in a team to ensure successful implementation of goals and objectives.
• Works with the appropriate stakeholders, drug plans, prescribers, and pharmacies within the pharmacy community to: build partnerships, support data sharing, develop tools and references to support changes in care practices in the pharmacy arena.
• Reviews and interprets contract deliverables to ensure timely and accurate completion.
• Leads the design and application of work plans, as well as coordinating their evaluation and any needed modifications to ensure they reflect project work.
• Contributes to the conceptual design and implementation of projects, as well as assist with project execution as needed.
• Ensures all project deliverables and timelines are met and reports on variances in a timely manner.
• May provide educational programs as necessary to meet project goals and promote high quality, safe, and effective medication use.

Your background will include.

• Registered pharmacist, Bachelor's degree in pharmacy, with Master's degree in pharmacy or Pharm.D.
• Degree with three to five years' experience in practice (retail, health-systems, consulting, industry or academia).
• Medicare Part D Plan or PBM and/or previous CMS Program Audit experience strongly preferred.
• Intermediate-level and above ability to use Excel is required. Knowledge of Project Management software preferred.

Certificates, Licenses, Registrations:

• Active, current and non-restricted Registered Pharmacist (RPh) license in the areas required by the contract.

If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you!

Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at www.atOrchard.com.

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