Remote Pharmacy Ops & PartD Compliance Lead

SHPCA SCAN Health Plan; City of Long Beach (NY); On-site; USD 80,300 - 116,197; Full time

Benefits offered by this job

Annual employee bonus program

Generous paid-time-off (PTO)

401(k) retirement savings plan with employer match

Tuition reimbursement

Job summary

SHPCA SCAN Health Plan in Long Beach is seeking a Manager of Pharmacy Operations to lead the pharmacy operations team. The role includes ensuring compliance with Medicare regulations and providing support during audits.

The ideal candidate will have significant Medicare PartD experience, leadership skills, and a strong analytical background. The position offers a fully remote work mode and a range of employee benefits including bonuses, generous PTO, and a robust wellness program.

Qualifications

• 5+ years of Medicare PartD experience with a health plan or PBM.
• 3+ years of leadership experience in a managed care setting.
• 3+ years of experience in data analysis.
• Active Pharmacy Technician License preferred.

Responsibilities

• Ensure regulatory compliance with respect to prescription benefits.
• Provide leadership during regulatory audits related to pharmacy operations.
• Collaborate with other departments to meet regulatory requirements.
• Develop and maintain policies to ensure compliance.

Skills

Medicare PartD expertise

Leadership in managed care

Data analysis

Interpersonal communication

Process improvement

Organizational skills

Education

Bachelor's Degree in Business/Healthcare

Tools

MS Office Suite

SQL

Job description

SHPCA SCAN Health Plan in Long Beach is seeking a Manager of Pharmacy Operations to lead the pharmacy operations team. The role includes ensuring compliance with Medicare regulations and providing support during audits.

The ideal candidate will have significant Medicare PartD experience, leadership skills, and a strong analytical background. The position offers a fully remote work mode and a range of employee benefits including bonuses, generous PTO, and a robust wellness program.