Pharmacy Specialist

Overview

Do you have a passion for providing exceptional customer experience? Do you have an interest in improving the health of others by collaborating with team members to solve problems that support the needs of our customers?  

If so, please consider applying for our Pharmacy Specialist position! Quartz is looking for an organized, adaptable individual to work as a Pharmacy Specialist. This position will be responsible for engaging with external customers and internal Quartz staff on drug-related benefits. Also, this position will Processes drug coverage decisions for utilization management requests while confirming compliance with regulatory and accreditation requirements.

 Benefits:  

• No WEEKENDS – Varying shifts between the hours of operation of 7:30am – 5pm, Monday – Friday 
• Opportunities for learning new skills and advancement 
• Starting pay range: $20.72-$25.91 /hr. based on skills and experience robust total rewards package.

Responsibilities

• Provide expertise and support to external customers and internal teams and stakeholders, acting as a go-to-resource for pharmacy related inquiries.
• Participates in the utilization review process, following departmental policies and procedures and state, federal and accreditation requirements.
• Regularly performs audits & oversight of internal, PBM, and other vendor’s activities, including claims processing monitoring, web updates, configuration of criteria and benefits.
• Performs administrative activities to implement Pharmacy & Therapeutics Committee decisions, including submission to the PBM and internal benefit teams, criteria for coverage posting and programming, web-posting, etc.
• Reviews and stays up to date with member benefits and benefit plans, as well as content specific to the lines of business they support.
• Oversees and collaborates with internal teams and external partners to optimize Quartz pharmacy’s operational workflows and ensure efficient, cost-effective medication utilization and optimal patient care outcomes.

Qualifications

• High School Diploma or equivalency is required; Bachelor's degree in a related field preferred.
• 2 years previous experience in a health care setting, managed care, PBM, or pharmacy setting is required.
• Knowledge of contracts, applications, products, and regulations (Medicare, ACA, Commercial).
• Knowledge of benefit systems and claims processing systems.
• Strong interest in clinical and operational pharmacy services excellence.
• Familiar with clinical program components, formulary designs, and prescription drug benefit trends.
• Able to demonstrate skills in prioritization, problem solving & critical thinking, team building, decision making, time management and strategic planning.
• Knowledge of external pharmacy related quality and performance metrics.
• Excellent organizational and interpersonal skills.
• Certified Pharmacy Technician (CPHT) or obtain CPHT within 12 months of hire.
• Pharmacy Technician license in state of residence.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. All employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. 

Salary : $21 - $26