Pharmacy Support – Coordinator 1


DEPARTMENT

Medicaid Technical Services Contract


POSITION SUMMARY

(1 position located in Baton Rouge)


RESPONSIBILITIES

• Troubleshoot incoming pharmacy calls from Medicaid recipients and providers through the use of LMMIS, MMIS, LAMedicaid.com and LaPRIMS. • Educate callers on LA Medicaid pharmacy benefit billing and compliance policies. • Research solutions to resolving callers’ problems and clearly communicate any viable options and/or solutions. • Route and transfer non‐pharmacy calls to the appropriate departments. • Track and log calls as required. • Provide assistance as needed to Pharmacy Program Pharmacists and Pharmacy Support Supervisor, including, but not limited to, performing mail‐outs, data entry, provider calls, information requests and policy and programmatic research. • Conduct special data analysis projects pertaining to the pharmacy program as requested. • Conduct periodic reviews of pharmacy claims to assess adherence to Medicaid program policies and procedures. • Resolve customer and provider relations issues. • Perform Fiscal Intermediary duties such as processing financial recoveries from providers and processing drug manufacturer payments. • Other tasks as directed.


REQUIRED QUALIFICATIONS

• Bachelor’s degree. • Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel. • Excellent analytical skills, effective organizational and time management skills. • Great attention to detail and follow up, and verbal/written communications skills.


DESIRED QUALIFICATIONS

• Master of Public Health, Master of Health Administration, or other advanced degree. • Minimum 3 years of professional experience managing projects. • Experience in presenting information to technical and non-technical audiences. • Professional experience in healthcare field, Medicaid eligibility, or Medicaid program support. • Supervisory experience. • GPC, CAPM, PMP, PgMP, PMI-PBA, PMI-ACP, PMI-SP, Lean Six Sigma, or other relevant industry related certifications and familiar with the phases of Project Management methodology.


SALARY

Commensurate with qualifications and experience.


DATE POSTED

07/27/2017


CLOSING DATE

Position will remain open until filled. To assure full consideration, applications should be received by August 8, 2017.


POSITION NUMBER

8537

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