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Associate, Pharmacy Specialist

Company: MVP Health Care
Location: Fishkill
Posted on: February 5, 2025

Job Description:

Associate, Pharmacy Specialist

625 State St, Schenectady, NY 12305, USA --- Fishkill, NY 12524, USA --- Rochester, NY, USA --- Tarrytown, NY, USA Req

Monday, February 3, 2025

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for an Associate, Pharmacy Specialist to join . If you have a passion for accuracy, collaboration, and healthcare this is the opportunity for you.

What's in it for you:

  • Growth opportunities to uplevel your career
  • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
  • Competitive compensation and comprehensive benefits focused on well-being
  • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York
    Qualifications you'll bring:
    • AAS degree preferred, or equivalent combination of education and experience required.
      • Strong written and verbal communication skills using different tools (email, fax, phone, etc.)
      • Strong data entry skills with superior attention to detail
      • Moderate to strong computer literacy with proficiency in MS Word, Excel, and Outlook
      • Ability to work independently in a team environment with desire to help others
      • Strong desire to learn, improve and adhere to complex processes as defined
      • Excellent customer service skills and ability to deal with stressful calls in a professional manner
        • Curiosity to foster innovation and pave the way for growth
        • Humility to play as a team
        • Commitment to being the difference for our customers in every interaction
          Your key responsibilities:

          • This position will help licensed pharmacists take care of many of the daily operations of the pharmacy department
          • Having knowledge of pharmacy benefits for MVP's multiple lines of business, formularies, and policies
          • Managing incoming faxes requesting drug coverage
          • Determining eligibility and evaluating pre-authorization requirements using multiple systems
          • Obtaining additional information and initiating cases for review when appropriate for multiple lines of business
          • Preparing cases for review by Pharmacists
          • Requesting additional clinical information for case completion from provider via verbal and fax requests
          • Completing case files by creating member/provider written notifications and making outgoing calls to provide members/providers with determinations
          • Ensures that regulatory timeframes are met using learned knowledge and daily tracking
          • Loading different types of authorizations and testing for accuracy
          • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
            Where you'll be:

            Location: Virtual within New York State

            Pay Transparency
            MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

            We do not request current or historical salary information from candidates.

            MVP's Inclusion Statement
            At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

            MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

            To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

            Other details
            • Job Family Pharmacy
            • Pay Type Hourly
            • Min Hiring Rate $20.00
            • Max Hiring Rate $28.80

Keywords: MVP Health Care, East Hartford , Associate, Pharmacy Specialist, Healthcare , Fishkill, Connecticut

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