Professional, Pharmacy Coordinator220 Alexander St, Rochester, NY 14607, USA • 625 State St, Schenectady, NY 12305, USA • Tarrytown, NY, USA Req #2111Monday, August 5, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!Status: Full Time, ExemptThis position will have a focus on the MVP Pharmacy Department's quality initiatives and goals. The individual will work with MVP contracted pharmacy benefits manager, MTM and quality vendor, and internal departments to ensure the safety of and improve the quality of care of our members. Responsible for monitoring and analyzing quality performance metrics to demonstrate effectiveness of the program or identify areas of improvement. Collaborate with internal and external partners to identify, develop, implement and monitor strategies to maintain and/or improve quality ratings (e.g. STAR, QARR, CAHPS, NCQA, HEDIS). Serves as liaison between Pharmacy and Quality/Quality Analytics and other internal departments for oversight of pharmacy quality performance metrics. Provides training and resources to pharmacy and internal staff on pharmacy quality initiatives. Responsible for creating, monitoring and submitting reports in conjunction with other pharmacy team members and other departments using multiple analytic software/programs. Participates in audit preparation and audit presentations. Participates in policy and procedure development, updates, and monitoring. Performs other related duties as assigned. POSITION QUALIFICATIONS:Minimum Education:
- BA/BS degree strongly preferred. Equivalent, relevant managed care experience may be considered in lieu of a college degree.
Minimum Experience:
- Minimum of 2 years' work experience in healthcare/health insurance required.
- Two years in a pharmacy or quality-focused related role within healthcare preferred.
Required Skills:
- Microsoft Word, Access, PowerPoint, and Excel (intermediate skill level)
- Exceptional organizational, presentation, written, and verbal communication skills.
- Knowledge of pharmacy claims processing and pharmacy benefit designs
- Knowledge of medical claims processing and medical benefit designs
- Excellent analytical skills required.
- Superior attention to detail and strong project management skills
- Ability to lead and contribute in meetings to gather requirements and communicate status.
- Ability to sit at a workstation for extended periods.
Preferred Skills:
- Some statistical background or experience a plus
About MVPMVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors , including but not limited to geographic location ; relevant experience, education, and training; and the nature of and demand for the role.In addition, we offer a comprehensive benefits package that includes:
- Considerable paid time away from work including PTO (Paid Time Off), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , allowing you to take time off when it suits you best.
- Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
- Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
- Life insurance and disability coverage to ensure financial security for you and your dependents.
- An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
- Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
- A best-in-class employee Well-Being program to support all dimensions of your health and wellness.
MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about total compensation and benefits will be provided during the hiring process.MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at ...@mvphealthcare.comPlease apply and learn more - including how you may become a proud member of our team.
Other details - Job Family Pharmacy
- Pay Type Salary
- Min Hiring Rate $44,850.00
- Max Hiring Rate $69,000.00