Medicaid Pharmacy Policy & Data Specialist

University of Louisiana Monroe; Monroe (MI); On-site; USD 70,000 - 110,000; Full time

Job summary

University of Louisiana Monroe College of Pharmacy seeks a pharmacist to support the Louisiana Medicaid Pharmacy Program from either Baton Rouge or Monroe, LA. The role covers Medicaid Lock-In, 340B Drug Pricing Program, DUR, prior authorization, audits, and related duties as assigned by the program.

Responsibilities include responding to help desk inquiries, maintaining lists, reviewing MCO drug criteria, drafting notices, and preparing management reports.

Qualifications

• Graduate of an ACPE-accredited School/College of Pharmacy with a B.S. degree or higher.
• Pharm.D. degree or equivalent experience preferred.
• Current LA Pharmacist License or eligibility to licensure in Louisiana.
• License must be in good standing.
• Experience with Microsoft Office; strong communication and organizational skills.
• Self-motivated; able to work in team or independently.
• Experience in pharmacy policy is preferred.

Responsibilities

• Support the Louisiana Medicaid Pharmacy Program operations for UL Monroe and LDH.
• Assist Medicaid Lock-In, 340B, DUR, prior authorization, and audits as directed.
• Handle Pharmacy Help Desk inquiries from Medicaid stakeholders.
• Maintain local pharmacy lists and review drug criteria.
• Draft provider notices and update Medicaid policy procedures.
• Generate quarterly and monthly MCO reports and respond to legislative questions.

Skills

Microsoft Office

Interpersonal communication

Organization skills

Teamwork

Education

ACPE-accredited pharmacy program

Pharm.D. preferred

Job description

University of Louisiana Monroe College of Pharmacy seeks a pharmacist to support the Louisiana Medicaid Pharmacy Program from either Baton Rouge or Monroe, LA. The role covers Medicaid Lock-In, 340B Drug Pricing Program, DUR, prior authorization, audits, and related duties as assigned by the program.

Responsibilities include responding to help desk inquiries, maintaining lists, reviewing MCO drug criteria, drafting notices, and preparing management reports.