Pharmacy Resident Managed Care

Responsibilities

This position is responsible for developing, implementing, monitoring and assisting in projects/programs that enhance the care of members in both commercial and Medicare advantage health plans. This position is also responsible for assisting the Pharmacy Health Plan Services area in the management of the Medicare Advantage Part D prescription benefits and after-hour prior authorizations as needed. Under the supervision of the Director of Pharmacy? Health Plan Services, this position is routinely responsible for audits and monitoring functions that help ensure prescription benefits are administered cost effectively, timely, accurately and in compliance with CMS standards

Job Title: Pharmacy Resident (Managed Care)

Location: Pearland Administrative Office

Department: KS Plan Advantage-Part D

Job Type: Full Time

Salary Range: $45,657 - $56,413 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: Graduate School of Pharmacy

Preferred: N/A

Experience

Required: 1-2 years of pharmacy experience

Preferred: HMO and 3rd party managed care experience

License(s)

Required: Intern state license; must obtain Texas Pharmacy License within 90 days of hire

Preferred: N/A

Special Skills

Required: Able to communicate with other healthcare and company personnel to delegate duties, inform

about policies, train, assist with program development and implementation.

Preferred: Experience with presentations.

Ability to problem solve and to present suggestions and solutions in a clear and concise manner

Other

Required: Able to communicate with members to handle complaints and problems, assist with questions, and

recommend products

Preferred: N/A

Working Environment: Office/Medical Clinic

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston?s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?

• Medical, Vision, and Dental
• Tuition Reimbursement
• Company Matching 401K
• Employee Reward and Recognition Program
• Paid time off for vacation, sick, and holidays
• Employee Assistance Program
• Continuing Medical Education allowance