Coordinator- Pharmacy Benefits
Requisition #: 98415
Status: Full-Time with Full-Time Benefits (40 Hours)
Business Unit: Community Care Services
Shift: Days
Department: PHARMACY-UTILIZATION MGT.
Weekends: No
Job Family: Pharmacy
Job Function: Business (Non-Clinical)
Campus/Job Location: Health Alliance Plan (HAP) - Detroit
Location (State/City): US-MI-Detroit
More information about this position
Overview:
Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health care systems, is a national leader in clinical care, research and education. The system includes the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory network and many other health-related entities throughout southeast Michigan, providing a full continuum of care. In 2014, Henry Ford provided $317 million in uncompensated care. The health system also is a major economic driver in Michigan and employs more than 23,000 employees. Henry Ford is a 2011 Malcolm Baldrige National Quality Award recipient. The health system is led by CEO Nancy Schlichting. To learn more, visit HenryFord.com
Responsibilities
* Reports to the Manager of Pharmacy Benefits and other delegated pharmacist.
* Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit management policies and procedures.
* Major areas of responsibility include oversight of the claims processing system, development of new benefit designs and programs, organizing the prior authorization process and management of the various vendor/customer relationships.
*
The Pharmacy Benefits Coordinator facilitates the operations of the Pharmacy Care Management department by acting as a departmental lead and /or project manager for assigned areas of responsibility.
*
This individual serves as an expert resource on related pharmacy benefit management issues to both departmental co-workers and others within the organization and as a key contact to related external customers and vendors.
Qualifications:
* High School Diploma or GED is required.
* Associate Degree or higher is preferred.
* Two years of pharmacy technician experience .
* One year of pharmacy benefit management or managed care experience.
* Good analytical skills, ability to manage complex spreadsheets and other software.
Equal Employment Opportunity / Affirmative Action Employer
Henry Ford Health System is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, national origin, sex, sexual orientation, age, disability, religion, weight/height, marital status, familial status, veteran status or any other characteristic protected by law..
Requisition #: 98415
Status: Full-Time with Full-Time Benefits (40 Hours)
Business Unit: Community Care Services
Shift: Days
Department: PHARMACY-UTILIZATION MGT.
Weekends: No
Job Family: Pharmacy
Job Function: Business (Non-Clinical)
Campus/Job Location: Health Alliance Plan (HAP) - Detroit
Location (State/City): US-MI-Detroit
More information about this position
Overview:
Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health care systems, is a national leader in clinical care, research and education. The system includes the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory network and many other health-related entities throughout southeast Michigan, providing a full continuum of care. In 2014, Henry Ford provided $317 million in uncompensated care. The health system also is a major economic driver in Michigan and employs more than 23,000 employees. Henry Ford is a 2011 Malcolm Baldrige National Quality Award recipient. The health system is led by CEO Nancy Schlichting. To learn more, visit HenryFord.com
Responsibilities
* Reports to the Manager of Pharmacy Benefits and other delegated pharmacist.
* Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit management policies and procedures.
* Major areas of responsibility include oversight of the claims processing system, development of new benefit designs and programs, organizing the prior authorization process and management of the various vendor/customer relationships.
*
The Pharmacy Benefits Coordinator facilitates the operations of the Pharmacy Care Management department by acting as a departmental lead and /or project manager for assigned areas of responsibility.
*
This individual serves as an expert resource on related pharmacy benefit management issues to both departmental co-workers and others within the organization and as a key contact to related external customers and vendors.
Qualifications:
* High School Diploma or GED is required.
* Associate Degree or higher is preferred.
* Two years of pharmacy technician experience .
* One year of pharmacy benefit management or managed care experience.
* Good analytical skills, ability to manage complex spreadsheets and other software.
Equal Employment Opportunity / Affirmative Action Employer
Henry Ford Health System is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, national origin, sex, sexual orientation, age, disability, religion, weight/height, marital status, familial status, veteran status or any other characteristic protected by law..