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Pharmacy Network MAC Management Specialist

2 months ago


Kansas City, United States Experis Full time

Our client, a leading software company, is seeking a Pharmacy Network MAC Management Specialist to join their team. As a Pharmacy Network MAC Management Specialist, you will be part of the Technical Implementation team. The ideal candidate will have great communication skills, be a continuous learner, and have a desire to assist others which will align successfully in the organization. 

 Job Title: Pharmacy Network MAC Management Specialist

Location: Remote

 

What’s the Job?

  • 3+ years’ experience in Pharmacy Network MAC Management or Pricing, Pharmacy, Actuarial Science, or other related areas

    · Must be able to understand and evaluate risk

    · 1+ years’ experience with modeling and data management

    · Advanced SQL, DB Visualizer and Excel skills required

    · Tableau experience a plus

    · Strong organizational and decision making skills with a high degree of mathematical aptitude

    · Strong understanding of pharmacy network processes

    · Excellent written and oral communication skills

    · Attention to detail

    · Ability to interact with senior management and key
    business users

    · Demonstrated ability to multi-task

    · Experience with supporting and managing contractual guarantees

    What You Will Get To Do:

    · Support the Pharmacy Network operations by managing all SS&C MAC Lists including developing strategies, pricing and balancing pharmacy contracts with customer guarantees

    · Work with leadership on identifying Network Risk and available mitigation strategies

    · Address and respond to MAC appeals meeting all state and other related regulatory requirements

    · Create ad hoc reporting for network management and strategic analysis

    · Ensure issues are identified, tracked, reported on and resolved in a timely manner

    · Involvement in special projects, communication and overall organizational changes related to Pharmacy Networks

    · Capacity to embrace change and quickly adapt to new situations, changes in direction, and altering priorities

    · Identify Organization's strengths and weaknesses with regards to Pharmacy Networks and suggest areas of improvement

    · Involvement in projects related to network management

    · Partnering with other internal clients such as contract and legal teams to expedite the client contracting process

    · Collaborate with other members of the finance team in budget, forecast, and compliance decisions

    · Support the other internal teams and customers in developing Network strategies and responding to customer RFP inquiries.