Job Details

We are so glad you are interested in joining Sutter Health!

Organization:
SHSO-Sutter Health System Office-Bay

Position Overview:
Provides the manager performance monitoring, resolve pharmacy and medication related issues for members, review the practices and procedures , and provide pharmacy, benefit and compliance related expertise to Sutter. Works on a number of critical initiatives including: Audit vendor selection and audit, on site evaluation, clinical programs, like narcotic drug use review and adherence, specialty product channeling, compliance with regulations, cost analysis with possible rate negotiations and special studies. Is responsible for the coordination of services and cost effective management of pharmaceutical resources to meet individual members' health care needs and promote positive health care outcomes. The responsibilities include assessment, coordination, planning, monitoring and evaluation of multiple environments. Acts as a member advocate and liaison between providers, members, pharmacies and Sutter Health to seamlessly integrate services.

Job Description:

****Please Note: While this position is listed as hybrid, regular in-office attendance is required. Candidates should be prepared to commute to the office on a consistent basis to support team collaboration and business needs.****

EDUCATION:

• Other: Graduate of an accredited pharmacy technician program.

CERTIFICATION & LICENSURE:

• PHARMC-Certified Pharmacy Technician

TYPICAL EXPERIENCE:

• 2 years recent relevant experience

PREFERRED EXPERIENCE:

• Prior Authorizations
• Coverage Determinations
• Integrated Delivery Systems
• Managed Care PBM

SKILLS AND KNOWLEDGE:

• Knowledge of data fields required by National Council for Prescription Drug Programs (NCPDP).
• Ability at running ad hoc reports from pharmacy claims data with strong PC skills including PowerPoint, Access, Outlook, Excel and Word.
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA), Health Care Reform, Business Code of Ethics and government regulated programs.
• Ability to work collaboratively, prioritize functions, problem solve, and anticipate upcoming issues for the executives.

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

Job Shift:
Days

Schedule:
Full Time

Shift Hours:
8

Days of the Week:
Monday - Friday

Weekend Requirements:
As Needed

Benefits:
Yes

Unions:
No

Position Status:
Non-Exempt

Weekly Hours:
40

Employee Status:
Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $0.00 to $0.00 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.