Medicare Pharmacy Specialist - Anaheim California

Company: VirtualVocations
Location: Anaheim, California
Posted On: 02/06/2025

A company is looking for a Pharmacy Implementation Specialist for Medicare & Duals.



Key Responsibilities:

Support the Operational Lead in achieving key objectives and managing reporting needs
Conduct comprehensive data collection and analysis to assist in formulary development and implementation
Ensure compliance with CMS and state regulations while maintaining documentation and supporting quality checks



Required Qualifications:

Bachelor's degree in a related field or equivalent experience
Two years of experience in Medicare and/or Dual-eligible managed care pharmacy
Pharmacy Technician Certification (PTCB) preferred
Experience with benefit and drug coding logic for adjudication
Familiarity with CMS audits More...

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