Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Industry Analysis Coordinator is responsible for supporting all aspects of Maximum Allowable Cost (MAC) list maintenance and analysis.
Responsibilities Include
- Reviewing and resolving MAC pricing inquiries from pharmacies and complying with MAC law requirements.
- Validating information from various sources, such as Medi-Span, manufacturers, and wholesalers.
- Accurately updating the Pharmacy Inquiry Database with appropriate information and responding to pharmacies within required TAT.
- Identifying marketplace condition changes and quickly forwarding potential issues to pharmacists for review in order to minimize impact to pharmacies and plan members.
- Maintaining the MACPRICE email box and responding to pharmacy phone calls as required by state laws.
Required Qualifications
- 1+ years of professional work experience in pharmacy claims
- 1+ years of MS Office experience
Preferred Qualifications
- Experience with RxClaim
- Bachelor's Degree
- Access Database
- SAS
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
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