Houston, TX, 77007, USA
11 days ago
Pharmacy Analyst
Adecco Healthcare & Life Sciences is hiring a REMOTE Pharmacy Analysts! This role is fully work-from-home and equipment will be provided. Please read below and apply with current resume for consideration. **Type:** Eight-month contract, opportunity for extension or full-time offer **Schedule:** Monday through Friday, 9AM to 5PM CST **Pay:** $28.90 to $ 30.90/hr **Responsibilities:** · Serve as dedicated resource to multiple complex Medicare Part D plans to manage first level response and resolution of escalated pharmacy issues with both internal and external internal clients, typically direct contact via phone, email · Understand the overall business model of Medicare Part D products, CMS guidance, the Pharmacy Benefit Manager (PBM) claim adjudication system and translate concepts into practice. · Using knowledge of Medicare Part D and claims processing be able to identify unique issues and areas of concern that are not predefined or prescribed but rather identified through the examination of complex claims activities to determine appropriate course of action and provide that direction to the PBM to act on the part of the plan and the member. · Participate in all 1/1 readiness activities related to preparation for new benefit plan year. · Investigate enrollment, billing, claim and/or customer service issues as identified and communicate resolution to both internal and external clients. **Qualifications:** · High school diploma or GED · 3 years Medicare Part D/Pharmacy benefit, and/or PBM experience related to eligibility, benefits and/or claims adjudication · Minimum of 1 years’ experience Pharmacy claim analysis and quality practices · Knowledge of Medicare Part D guidelines and regulations · Pharm Tech license preferred **Why work for Adecco?** · Weekly Pay · 401(k) Plan · Skills Training · Excellent medical, dental, and vision benefits Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This job is being recruited for by Adecco’s Healthcare & Life Sciences division, not your local Adecco Branch Office. For opportunities available at Adecco Healthcare & Life Sciences go to www.adeccousa.com/industries/medical-and-science Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/ . The Company will consider qualified applicants with arrest and conviction record. **Pay Details:** $28.90 to $30.90 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance
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