Pharmacy Benefit & Compliance Specialist

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🔥 13 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

⏰ Full Time

🟢 Junior

🚔 Compliance

🚫👨‍🎓 No degree required

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Sentara Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1890

⚕️ Healthcare Insurance

Healthcare Insurance

Sentara Health is a leading healthcare system that operates over 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals. The company is dedicated to providing exceptional patient care, fostering professional development, and maintaining a diverse workforce. Sentara Health aims to improve health every day and has been recognized for its clinical and operational performance, being named one of the top 15 health systems by IBM Watson Health. The organization supports its employees in achieving their full potential and encourages growth and innovation in the healthcare sector.

📋 Description

• Responsible for supporting the Pharmacy Department's day-to-day operations for the benefits and compliance of all products and lines of business • Provides subject matter expertise related to analysis, implementation, and process improvement activities in support of the Pharmacy Department • Creates and maintains reports for business operations and special projects as it pertains to operational processes • Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business • Assists in the implementation, maintenance and improvement of information systems • Collaborates with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs

🎯 Requirements

• HS - High School Grad or Equivalent REQUIRED • Managed Care- 1 year REQUIRED • Compliance - 1 year highly preferred • Pharmacy or Pharmacy Benefit Management (PBM) system experience preferred • Strong proficiency in Microsoft Office Suite especially Excel preferred • Experience in SQL a plus

🏖️ Benefits

• Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.