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Maximum Allowable Cost Programs Specialist

2 months ago


Anaheim, California, United States VirtualVocations Full time

VirtualVocations is seeking a skilled Maximum Allowable Cost Programs Specialist to join our team. As a key member of our team, you will be responsible for assessing provider appeals inquiries and recommending actions based on pricing resources. You will also coordinate and monitor MAC services, providing educational support to network providers. Additionally, you will serve as a liaison between providers and Medicaid departments to resolve issues. To be successful in this role, you will need 3-5 years of experience in the pharmacy arena, knowledge of Pharmacy Benefit Management (PBM), and a strong working knowledge of Microsoft Office Suite, particularly Excel. If you have a strong background in pharmacy and are looking for a challenging role, we encourage you to apply.