UCare

Pharmacy Operations Coordinator

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jan 04, 2018
Closes
Jan 27, 2018
Category
Healthcare
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

 

 

ABOUT UCARE

At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.

 

WORKING AT UCARE

Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.

 

PHARMACY OPERATIONS COORDINATOR

 

Position Description

This is responsible to collaborate within the pharmacy team and UCare departments to ensure pharmacy benefits are applied correctly for members across all lines of business.  Also responsible to plan, document, monitor and support implementation of projects to improve processes, strengthen regulatory compliance, support clinical program administration and optimize efficiency across the pharmacy department.  This role requires strong problem-solving and communication skills and the ability to assimilate information and data from multiple sources.  Specific duties and responsibilities include:  

Maintain an understanding of UCare products, benefits, pharmacy operations and clinical programs; including formulary knowledge, benefit management, regulatory oversight; and appropriate drug claims processing.  

Apply knowledge and skills to a range of assignments requiring collaboration within pharmacy and across UCare functional departments including claims, IS, enrollment, finance and clinical services.

Ensure drug claims are processing appropriately according to the benefit structure (both internally and through the PBM processing system) and research and resolve any issues in a timely and professional manner

Coordinate, prioritize, schedule and manage review of existing department policies/procedures and facilitate documentation and development of new department materials

Assist with the development, analysis, and processing of both ad-hoc and regulatory required reporting and audits on pharmacy data; and address outcomes as necessary

Other projects and duties as assigned. 

Education

BA/BS/ preferred; demonstrated experience may be considered in lieu of degree.

Required Experience

Three or more years of related experience in health care setting.  Two or more years of project coordination experience in a health care environment.

Preferred Experience

Medicare Part D, State Public Programs and Healthcare Reform knowledge.  Experience in gathering, translating and communicating technical business requirements.  Proficiency with data analysis and validation. Strong knowledge of MS office products including.  Process improvement experience.  Background in policy and procedure development.

THE UCARE DIFFERENCE

UCare is proud to be a recognized Star Tribune Top Workplace for the 8th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

 

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
www.ucare.org/careers/
EOE/AA