CASY-MSCCN Jobs

CASY-MSCCN Logo

Job Information

Lumeris Pharmacy Operations Supervisor in St. Louis, Missouri

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Pharmacy Operations Supervisor

Position Summary:

Provide supervision and guidance to a team of pharmacy operations support specialists who perform one or more of the following functions: Medicare Part D rejected claims management, pharmacy prior authorizations, support of the Medication Therapy Management and Overutilization Management Programs.

Job Description:

RESPONSIBILITIES:

  • Daily supervision and guidance to Pharmacy Operations Support Specialists (POSS).

  • Manage schedules, time cards workflows and division of duties among Pharmacy Operations support specialists

  • Monitor daily productivity and compile monthly metrics

  • Support development of client facing reports

  • Become subject expert with Medicare Part D policies and procedures

  • Be able to interact with the pharmacy benefits manager, pharmacies, prescribers, and members to ensure appropriate and timely member access to prescription drugs

  • Develop work flows for medical pharmacy prior authorizations and Medicare Part D drug reconsiderations or other functions assigned to the POSS team

  • Support compliance functions and requests

  • Support the Medication Therapy Management and Overutilization Management Programs

  • Support quality programs including STARS initiatives

  • Document and track findings in a computerized system(s)

  • Develop training materials as needed for new hires or new processes

  • Collaborate with clinical manager to identify department strategies

QUALIFICATIONS :

  • High school diploma or GED required

  • Current Certified Pharmacy Technician License preferred

  • Minimum of two years Pharmacy Technician experience preferred

  • Excellent people leader skills with a minimum of one year in a leadership role

  • Part D health plan or pharmacy benefit management experience ideal

  • Ability to consistently meet deadlines; demonstrated flexibility and ability to work independently and adapt to a changing work environment

  • Excellent planning, time management, and organizational skills

  • Team player with a positive attitude

  • Strong professional verbal and written communication skills

  • Basic PC skills required including experience with and strong understanding of Microsoft Excel, Word, and Outlook

Lumeris is an EEO/AA employer M/F/V/D.

Location:

St. Louis, MO

Time Type:

Full time

Join Our Growing Team!

Lumeris is a value-based care managed services operator for health systems and providers seeking extraordinary clinical and financial outcomes. Lumeris aligns providers and payers across populations with technologies, processes, behaviors and information to achieve high-quality, cost-effective care with satisfied consumers — and engaged physicians.

For the past eight years, Lumeris with Essence Healthcare, its inaugural client and learning laboratory with more than 65,000 Medicare members in Missouri and Illinois, has received 4.5- to 5-Star Ratings from the CMS and produced the highest consumer and physician satisfaction scores in the industry along with significantly better clinical outcomes and lower costs. For more information, go to www.lumeris.com.

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.

DirectEmployers