Responsible for developing, implementing, monitoring and assisting in projects/programs that enhance the care of members in both commercial and Medicare advantage health plans. This position is also responsible for assisting the Pharmacy Health Plan Services area in the management of the Medicare Advantage Part D prescription benefits and after-hour prior authorizations as needed. Under the supervision of the Director of Pharmacy– Health Plan Services, this position is routinely responsible for audits and monitoring functions that help ensure prescription benefits are administered cost effectively, timely, accurately and in compliance with CMS standards
Job Title: Pharmacy Resident Managed Care
Clinic Location: Pearland Administration Office Building
Department: KS Plan Advantage-Part D
Job Type: Full Time
Salary Range: $44,762 – $55,307 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Required: Graduate of an accredited school of pharmacy
Required: 1-2 years pharmacy experience
Preferred: HMO and 3rd party managed care experience.
Required: Intern state license; must obtain Texas Pharmacy License within 90 days of hire
Required: Able to communicate with other healthcare and company personnel to delegate duties, inform about policies, train, assist with program development and implementation.
Preferred: Experience with presentations. Ability to problem solve and to present suggestions and solutions in a clear and concise manner.
Working Environment: Clinic or Office
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance