Pharmacy Benefits Operations Expert: Strategy & Compliance

Kaiser Permanente; Reno (NV); On-site; USD 110,000 - 170,000; Full time

Job summary

Kaiser Permanente in Nevada seeks a Pharmacy Benefits professional to leverage data analytics, support pharmacy and health care teams, and ensure compliance with federal regulations while expanding access and affordability for members.

You will work across Commercial, Medicare, Medicaid, and other plans, implement benefits, train staff, and help design new programs to improve outcomes and member experience.

Qualifications

• Minimum two (2) years of experience in Pharmacy Benefits.
• Doctorate of Pharmacy or equivalent degree (e.g., Bachelors of Pharmacy).
• Pharmacist License (from any state) required at hire.
• Pharmacist License (Nevada) within 12 months of hire.

Responsibilities

• Develop and maintain effective relationships by providing resources, information, and expertise to coworkers and members.
• Apply up-to-date subject area knowledge to generate creative solutions and ensure compliance with procedures.
• Provide support to pharmacy and healthcare professionals using analytics and informatics to aid patient-facing teams.
• Collaborate with interdisciplinary teams to implement pharmacotherapy safety practices and initiatives.
• Coordinate strategic plans to improve service, affordability, and regulatory outcomes; monitor data trends for program improvements.

Skills

Ambiguity/Uncertainty Management

Attention to Detail

Business Knowledge

Communication

Critical Thinking

Cross-Group Collaboration

Decision Making

Dependability

Diversity, Equity, and Inclusion

Drives Results

Facilitation Skills

Health Care Industry

Influencing Others

Integrity

Learning Agility

Organizational Savvy

Problem Solving

Teamwork

Topic-Specific Communication

Education

Doctorate of Pharmacy or equivalent degree

Job description

Kaiser Permanente in Nevada seeks a Pharmacy Benefits professional to leverage data analytics, support pharmacy and health care teams, and ensure compliance with federal regulations while expanding access and affordability for members.

You will work across Commercial, Medicare, Medicaid, and other plans, implement benefits, train staff, and help design new programs to improve outcomes and member experience.