Pharmacy Program Specialist

5 hours ago


Helena, Montana, United States State of Montana Full time

Job Summary

The State of Montana is seeking a highly skilled Pharmacy Program Specialist to join our team. As a Pharmacy Program Specialist, you will be responsible for managing the Outpatient Prescription Drug and Home Infusion Therapy Programs. This includes working with administrative rules, statutes, and policies concerning the claims payment system and coding, as well as coordinating program changes in Montana Medicaid Information System (MMIS) and the Montana Medicaid pharmacy point of sale system.

Key Responsibilities

  • Manage the Outpatient Prescription Drug and Home Infusion Therapy Programs
  • Work with administrative rules, statutes, and policies concerning the claims payment system and coding
  • Coordinate program changes in MMIS and the Montana Medicaid pharmacy point of sale system
  • Manage program contracts

Why Work for the State of Montana

The State of Montana offers a comprehensive benefits package, including healthcare coverage, retirement plans, paid vacation, sick leave, and holidays. We also offer work/life balance and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program.

Qualifications

  • General knowledge of Medicaid, medical terminology, and basic medical billing practices
  • Knowledge of program management principles and practices
  • Excellent written and verbal communication skills
  • Ability to research, interpret, and apply laws, rules, and regulations
  • Meet minimum qualifications: Bachelor's degree in human services, business, public, or health administration, or other related fields. Two years of progressively responsible administrative or program experience. Experience with Medicaid, pharmacy, or other care-related program experience is preferred.


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