
1 - 10 employees
Founded 2023
💄 Beauty
🛒 Retail
🧘 Wellness
Beauty • Retail • Wellness
ZING is a toothpaste company that specializes in enamel whitening with a unique formulation that promises to dissolve stains, repair enamel, and reduce sensitivity. Proudly made in the UK, ZING's products are vegan, cruelty-free, and 100% recyclable. Their toothpaste is designed to be enjoyable to use while providing effective dental care, with a focus on natural ingredients and sustainability.
🔥 0 minutes ago
🌽 Illinois – Remote
💵 $51.5k - $61.5k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
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1 - 10 employees
Founded 2023
💄 Beauty
🛒 Retail
🧘 Wellness
Beauty • Retail • Wellness
ZING is a toothpaste company that specializes in enamel whitening with a unique formulation that promises to dissolve stains, repair enamel, and reduce sensitivity. Proudly made in the UK, ZING's products are vegan, cruelty-free, and 100% recyclable. Their toothpaste is designed to be enjoyable to use while providing effective dental care, with a focus on natural ingredients and sustainability.
• Support the development, maintenance, and ongoing oversight of clinical and operational pharmacy programs and processes • Manage administrative components of formulary creation, development, and maintenance • Create, maintain, submit, and post formularies using a formulary management tool for all lines of business • Partner with stakeholders to oversee formulary marketing materials, claims adjudication testing, and weekly PBM calls • Support analysis of monthly and yearly formulary submissions • Compare competitor drug coverage for all lines of business • Assist customer services, network pharmacies, and health plan providers with prescription claims, prior authorization, appeals, and pharmacy access issues • Participate in and support internal and government audits • Participate in internal work groups as required • Develop and maintain pharmacy operations workflows, job aids, and training materials • Support resolution of member grievances • Act as a pharmacy operations liaison with internal departments • Develop materials and educate internal departments on pharmacy operations • Support programs designed to enhance targeted therapeutic drug utilization and Part D STARS outcomes • Complete special projects, including compiling information, generating reports, and maintaining records and files • Follow Pharmacy Leadership direction regarding day-to-day operations and program management • Track and formally respond to pharmacy-related inquiries from internal and external stakeholders • Research and resolve medication issues using appropriate reference materials through complete issue resolution
• 2 years experience as a Pharmacy Technician • High School Diploma or GED equivalent • Active Certified Pharmacy Technician (CPh.T) license • Experience in retail, hospital, or managed care pharmacy industry required • Minimum of 2 years of experience in health care or health insurance industry preferred • Experience working with Medicare Parts B and D and/or Medicaid Plans preferred • Working knowledge of pharmaceutical managed care and PBM industries • Ability to use pharmacy claim reports to perform audits and quality checks on active prior authorizations • Working knowledge of pharmaceutical claims, language, drug usage, and generic substitution practices • Computer skills and working knowledge of Microsoft products, claims processing software, and report generation • Ability to learn new software applications • Familiarity with formulary lists, including common edits and restrictions • Strong knowledge of healthcare delivery • Excellent listening, speaking, and writing skills • Ability to plan and manage multiple assignments and tasks, set priorities, and adapt to changing conditions and work assignments • Ability to work well with one or more groups • Ability to relate to co-workers and build relationships within the organization
• A competitive salary based on the market • Medical, Dental, and Vision • Employer-Paid Life Insurance • Paid Maternal Leave • Paid Paternal Leave • 401(K) match up to 4% • Paid-Time-Off • Employee Assistance Programs • Supplemental benefits, including Spouse Insurance, Pet Insurance, Critical Illness coverage, and ID Protection
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