Support Medicare Advantage processes, outreach, presentations, and tasks that require clinical direction and support. This includes, but not limited to, clinical presentations to internal and external stakeholders, providers, provider offices, and other customers.
To be considered for this position, you must have:
Doctor of Pharmacy required from Accredited US College of Pharmacy.
An active, current, and unrestricted license or certification to practice pharmacy in Nebraska.
The strongest candidates for this position will also possess:
Experience with PBM operations, Medicare Advantage, and/or clinical program development and maintenance.
Managed Care Pharmacy Residency or 3-4 years of experience in Managed Care Pharmacy industry.
Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers .
We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.
Benefits
Health insuranceRemote work options
Additional Information
At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.
Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.
This position will be the expert of the team on clinical issues in conjunction with the Director of Pharmacy and other staff pharmacists. This position will be responsible for working in a collaborative culture focused on designing, implementing, maintaining and measuring pharmacy-related utilization management programs. This includes but is not limited to development of work flows, criteria development and ensuring that URAC accreditation is maintained. Additionally, supporting Medicare Advantage processes, outreach, and tasks that require clinical discussion and presentation.
Candidates applying to this position may be hybrid or remote and can live in one of the following states: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas.
Nebraskablue · Remote