Associate, Pharmacy Specialist

Qualifications youll bring:

• AAS degree preferred or equivalent combination of education and experience required.

• Strong written and verbal communication skills using different tools (email fax phone etc.)
• Strong data entry skills with superior attention to detail
• Moderate to strong computer literacy with proficiency in MS Word Excel and Outlook
• Ability to work independently in a team environment with desire to help others
• Strong desire to learn improve and adhere to complex processes as defined
• Excellent customer service skills and ability to deal with stressful calls in a professional manner

• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• This position will help licensed pharmacists take care of many of the daily operations of the pharmacy department
• Having knowledge of pharmacy benefits for MVPs multiple lines of business formularies and policies
• Managing incoming faxes requesting drug coverage
• Determining eligibility and evaluating preauthorization requirements using multiple systems
• Obtaining additional information and initiating cases for review when appropriate for multiple lines of business
• Preparing cases for review by Pharmacists
• Requesting additional clinical information for case completion from provider via verbal and fax requests
• Completing case files by creating member/provider written notifications and making outgoing calls to provide members/providers with determinations
• Ensures that regulatory timeframes are met using learned knowledge and daily tracking
• Loading different types of authorizations and testing for accuracy
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where youll be:

Location: Virtual within New York State

Pay Transparency
MVP Health Care is 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. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended 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.

We do not request current or historical salary information from candidates.

MVPs Inclusion Statement
At MVP Health Care we believe creating healthier communities begins with nurturing a healthy workplace. As an organization we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits employs trains compensates and promotes without discrimination based on race color creed national origin citizenship ethnicity ancestry sex gender identity gender expression religion age marital status personal appearance sexual orientation family responsibilities familial status physical or mental disability handicapping condition medical condition pregnancy status predisposing genetic characteristics or information domestic violence victim status political affiliation military or veteran status Vietnamera or special disabled Veteran or other legally protected classifications.

To support a safe drugfree workplace preemployment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability please contact our Talent team atemailprotected.