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Job Title:

SHP Pharmacy Benefits Specialist (Remote in WI))

Cost Center:

682891381 SHP-Pharmacy

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; 8:00 am - 5:00 pm (United States of America)

Job Description:

JOB SUMMARY

The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy benefits. This individual works closely with the Pharmacy Director, Clinical Pharmacy Specialist, and Operations Manager to provide consistent and accurate pharmacy benefit administration for SHP customers. The SHP Pharmacy Benefit Specialist recognizes and analyzes aberrations in the functioning of benefits to monitor the services and performance of SHP’s pharmacy benefits, and to communicate those issues to the appropriate areas.

JOB QUALIFICATIONS EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: High school diploma or equivalent.

Preferred/Optional: Associate or Bachelor’s Degree in business administration.

EXPERIENCE

Minimum Required: Five years’ of experience working as a pharmacy technician with knowledge of electronic pharmacy claims processing. Demonstrated proficiency with customer service skills.

Preferred/Optional: One year experience in a Health Maintenance Organization (HMO) or insurance industry.

CERTIFICATIONS/LICENSES

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: Certified Pharmacy Technician (CPhT) awarded by the Pharmacy Technician Certification Board required or must attain certification within 6 months of hire date.

Preferred/Optional: None

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.