Aetna Pharmacy Service Manager - 45879BR in Allentown, Pennsylvania
Req ID: 45879BR
This pharmacist position is part of a team that coordinates and oversees Medicare clinical operations as it relates to formulary products and program requirements both within Aetna and it's PBM vendor. Work at Home Position.
Looking for Managed Care experience or PBM experience NOT retail experience such as Walgreens, Rite Aid, CVS etc.
Responsibilities include: - Participate in formulary development and maintenance - Focus on clinical operational excellence and PBM delegated function oversight - Issue prevention, detection and rapid remediation - Participate in the yearly Implementation of formularies supportive logic on the PBM platform. - Interpretation and implementation of CMS guidance as it pertains to clinical operations surrounding the Part D drug benefit. - Create and maintain policies and procedures around job functions. Oversee the clinical aspects of pre-effecuation, ANOC and TOC.
In-depth knowledge and experience in managed care / managed pharmacy / competitive environment.
3 years clinical pharmacy/administrative experience or equivalent.
The highest level of education desired for candidates in this position is a Doctor of Pharmacy.
LICENSES AND CERTIFICATIONS
Pharmacy/Registered Pharmacist (RPh) is required
Healthcare Management/Managed Healthcare Professional, HIAA is desired
Functional - Products-Medical//
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
General Business/Demonstrating Business and Industry Acumen/FOUNDATION
Full-Time Telework (WAH)
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Health Care