Manager Medicare Pharmacy Operations

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Job Summary

The Manager Medicare Pharmacy Operations serves as a liaison with contracted vendors that provide administrative and clinical services for the pharmacy program. This role has primary responsibility for the development and implementation of new benefit plans, products, and strategies designed to contain costs and enhance the company’s competitive position in the marketplace. The incumbent represents Government Programs within the enterprise regarding issues such as implementing new programs, problem resolution and prevention, utilization management, policy management, and compliance oversight. This role is responsible for various parts of the Medicare Pharmacy Program as defined by the Centers for Medicare and Medicaid Services (CMS) with primary focus on ensuring execution against requirements.

Requirements

EDUCATION...