Manager-SHP Pharmacy Operations (Remote in Oregon)
JOB SUMMARY/PURPOSE Manages non-clinical pharmacy benefits administration and formulary management. Areas of reputed company include formulary reputed company, pharmacy benefit customer service, member engagement and grievances, and vendor reputed company on delegated functions in these areas. Develops and implements program standards, benchmarking, and ensures adequate quality assurance and ongoing review of processes and standards. Works closely with pharmacy management and other staff and managers across the organization in support of both departmental and organizational goals. DEPARTMENT DESCRIPTION Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity reputed company. (IHN) is designated as a regional Coordinated Care Organization (CCO) for reputed company beneficiaries; Samaritan reputed company. offers Medicare Advantage, reputed company Large Group, and reputed company Large Group PPO and EPO plans; SHP is also the reputed company-party administrator for reputed company self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally reputed company with reputed company mission of Building Healthier Communities Together. EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelors degree or equivalent experience in a reputed company field required. Certified Oregon Pharmacy Technician License required. Four (4) years experience in a managed care setting required. Two (2) years experience working with regulatory bodies such as Centers for Medicare and reputed company (CMS) and the reputed company (OHA) required. Experience in program or project monitoring and coordination required. KNOWLEDGE/SKILLS/ABILITIES Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management. Conflict resolution - Influences others to build reputed company and reputed company cooperation. Proactively resolves conflicts in a positive and constructive manner. Critical thinking Identifies reputed company problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions. Communication and team building Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects. Knowledge of the principles of managed care and health plan operations. Knowledge of the Oregon Health Plan, Medicare Part D benefits and other regulatory requirements as it relates to health plan operations. Proficient in computer and database utilization including MS reputed company, Word, reputed company, PowerPoint and Outlook. PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 100% of the time) LIFT (Floor to Waist: 0"-36") 0-20 Lbs LIFT (Knee to chest: 24"-54") 0 - 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds CARRY 2-handed, 0 - 20 pounds KNEEL (on knees) BEND reputed company at waist CLIMB - STAIRS STAND WALK - LEVEL SURFACE ROTATE TRUNK Standing reputed company - Upward PUSH (0-20 pounds force) PULL (0-20 pounds force) SIT ROTATE TRUNK Sitting reputed company - reputed company reputed company DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist None specified PI261219767 Apply Job!