The job below is no longer available.
You might also like
in Scottsdale, AZ
$28est. per hour Greenway Store (32nd St & Greenway) • 2d agoUrgently hiring 9.3 mi Use left and right arrow keys to navigate- $60,000
Verified per year Alma School Store (Alma School & Ray) • 17h agoJust posted Urgently hiring 14 mi Use left and right arrow keys to navigate - $28
est. per hour Alma School Store (Alma School & Ray) • 2d agoUrgently hiring 14 mi Use left and right arrow keys to navigate - $28
est. per hour Kyrene Store (Warner & Kyrene) • 2d agoUrgently hiring 13.2 mi Use left and right arrow keys to navigate - $21
est. per hour Baja Fresh • 30d agoFast response 14.3 mi Use left and right arrow keys to navigate
Clinical Pharmacist Drug File Manager - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Scottsdale, Arizona |
About this job
Job Category: Management
Clinical Licensure Required : Pharmacist
Job Type: Full Time Position Summary:
The Drug File Manager is responsible for oversight of a team of Pharmacists and Analysts tasked with managing Enterprise Drug File (EDF) data used in support claims adjudication, mail/specialty pharmacy operations, and various clinical programs. Additionally, the Manager provides leadership for cross-functional drug data related IT projects and serves as liaison providing subject matter expertise to many internal business partners, including Legal, Contracting, Professional Practice, Medical Affairs, Clinical Operations, Benefits, Medicare Operations, and Underwriting.
1) The Drug File Manager will lead the team that is responsible for reviewing and analyzing additions and updates to existing EDF data received from external data vendors on a daily basis. The purpose of such review and analysis is to ensure drug data used in support of PBM processes/programs is accurate and adheres to state and federal laws, as well as relevant Compliance and Audit requirements. The team is also responsible for managing internal price programs and PBM-proprietary drug data. In addition, the team supports mail order operations by managing the mail order substitution process to ensure clinical appropriateness of generic drug substitutions.
2) Serve in an advisory role providing guidance, and recommendations to team members and internal business partners as necessary to address drug data related questions and issues.
3) Provide leadership and participate in capital projects and strategic initiatives, often times serving in the role of Drug File SME.
4) Participate in professional organizations (NCPDP, AMCP) to stay informed of potential industry changes that impact the PBM industry.
5) Lead efforts related to continual process improvements. Ensure that appropriate Policy & Procedure documentation is developed and maintained. Required Qualifications:
* 5-10 years PBM experience in an operational business unit.
* Experience should include the use of drug file data in areas such as Benefits, Clinical programs, or mail pharmacy operations.
* Previous management experience is required. Preferred Qualifications:
*The ideal candidate will be able to effectively manage multiple tasks in a relatively fast paced environment.
*The ability to understand complex issues, to determine the appropriate plan for resolution, and to execute that plan to completion is critical.
*Strong relationship building, interpersonal, and organizational skills are highly important.
*Intermediate to advanced skills with MS Excel are strongly preferred. *Intermediate to advanced skills with MS Access are desirable.
*Proven work experience with Legal/Regulatory/Compliance related entities is preferred.
*Dispensing experience is a plus. Education:
RPH or PharmD is required. Additional Business related degree is preferred. Business Overview:
CVS Caremark, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers. CVS Caremark is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, color, gender, national origin, ancestry, religion, physical or mental disability, age, veteran status, sexual orientation, gender identity or expression, marital status, pregnancy, citizenship, or any other factor protected by anti-discrimination laws. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking
AA EEO CVS Caremark
Clinical Licensure Required : Pharmacist
Job Type: Full Time Position Summary:
The Drug File Manager is responsible for oversight of a team of Pharmacists and Analysts tasked with managing Enterprise Drug File (EDF) data used in support claims adjudication, mail/specialty pharmacy operations, and various clinical programs. Additionally, the Manager provides leadership for cross-functional drug data related IT projects and serves as liaison providing subject matter expertise to many internal business partners, including Legal, Contracting, Professional Practice, Medical Affairs, Clinical Operations, Benefits, Medicare Operations, and Underwriting.
1) The Drug File Manager will lead the team that is responsible for reviewing and analyzing additions and updates to existing EDF data received from external data vendors on a daily basis. The purpose of such review and analysis is to ensure drug data used in support of PBM processes/programs is accurate and adheres to state and federal laws, as well as relevant Compliance and Audit requirements. The team is also responsible for managing internal price programs and PBM-proprietary drug data. In addition, the team supports mail order operations by managing the mail order substitution process to ensure clinical appropriateness of generic drug substitutions.
2) Serve in an advisory role providing guidance, and recommendations to team members and internal business partners as necessary to address drug data related questions and issues.
3) Provide leadership and participate in capital projects and strategic initiatives, often times serving in the role of Drug File SME.
4) Participate in professional organizations (NCPDP, AMCP) to stay informed of potential industry changes that impact the PBM industry.
5) Lead efforts related to continual process improvements. Ensure that appropriate Policy & Procedure documentation is developed and maintained. Required Qualifications:
* 5-10 years PBM experience in an operational business unit.
* Experience should include the use of drug file data in areas such as Benefits, Clinical programs, or mail pharmacy operations.
* Previous management experience is required. Preferred Qualifications:
*The ideal candidate will be able to effectively manage multiple tasks in a relatively fast paced environment.
*The ability to understand complex issues, to determine the appropriate plan for resolution, and to execute that plan to completion is critical.
*Strong relationship building, interpersonal, and organizational skills are highly important.
*Intermediate to advanced skills with MS Excel are strongly preferred. *Intermediate to advanced skills with MS Access are desirable.
*Proven work experience with Legal/Regulatory/Compliance related entities is preferred.
*Dispensing experience is a plus. Education:
RPH or PharmD is required. Additional Business related degree is preferred. Business Overview:
CVS Caremark, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers. CVS Caremark is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, color, gender, national origin, ancestry, religion, physical or mental disability, age, veteran status, sexual orientation, gender identity or expression, marital status, pregnancy, citizenship, or any other factor protected by anti-discrimination laws. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking
AA EEO CVS Caremark
Your Privacy Choices