Pharmacy Director jobs in Utica, NY

Overview

Scope of Responsibilities : Provide guidance, assistance and expertise regarding specialty assistance programs between ProAct and contract pharmacies to include Noble Health Services and other specialty and / or retail pharmacies.

Coordinate with all appropriate parties to secure funding assistance, medication shipment and regularly communicate updates on member-specific cases.

Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary : Responsible for coordinating functions related to specialty assistance programs to include, but not limited to ProActPLUS and other external copay sourcing program related operations on a day-to-day basis.

Act as the liaison between ProAct, and Noble Health Services (or other network pharmacies) to support these programs and its components.

Responsibilities

• Support ProAct clients and members regarding functions related to specialty assistance programs.
• Partner with Noble Health Services and other network pharmacies on the administration of ProAct-owned programs such as ProActPLUS as well as third party solutions and other utilization management programs.
• Perform outreach to physician offices and members to request prescriptions, confirm assistance components, etc.
• Process overrides in ProAct’s processing database to ensure claims are processing as intended after funding is secured.
• Assist Noble and other network pharmacies with various other ProAct-related inquiries or overrides that need to be entered for successful claim processing.
• Complete all mandatory KPH, state, and federal training programs.

Qualifications

Experience Preferred :

Preferred : 2 Years experience with Health Care, Insurance and / or Project Management

Special Conditions of Employment :

• Drug test
• Initial and continuous exclusion and sanction / disciplinary monitoring
• Any and all additional eligibility requirements based on the specific position

Compensation :

$17.00 -20.72 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

Last updated : 2024-04-06