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Kelsey-Seybold Clinic, Pa

Pharmacy Resident-Managed Care

Kelsey-Seybold Clinic, Pa - Pearland, TX

Pharmacy Resident-Managed Care

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Job Ref:

2018-18969

Employer:

Kelsey-Seybold Clinic

City:

Pearland

State:

Texas (TX)

Position type:

Full-Time

Overview

Pharmacy Resident (Managed Care)

Location: Pearland Administrative Office

Department: Pharmacy Services

Job Type: Full Time

COMPANY PROFILE

Kelsey-Seybold Clinic. Your Doctors for Life.

Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind - combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston's largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.

JOB SUMMARY

This position is responsible for developing, implementing, monitoring and assisting in projects/programs that enhance the care of members in both commercial and Medicare advantage health plans. This position is also responsible for assisting the Pharmacy Health Plan Services area in the management of the Medicare Advantage Part D prescription benefits and after-hour prior authorizations as needed. Under the supervision of the Director of Pharmacy- Health Plan Services, this position is routinely responsible for audits and monitoring functions that help ensure prescription benefits are administered cost effectively, timely, accurately and in compliance with CMS standards.

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

Education

A.

Graduate School of Pharmacy

B.

Experience

A.

1-2 years of pharmacy experience.

B.

HMO and 3 rd party managed care experience.

Licenses

A.

Intern state license; must obtain Texas Pharmacy License within 90 days of hire

B.

Special Skills

A.

Able to communicate with other healthcare and company personnel to delegate duties, inform about policies, train, assist with program development and implementation.

B.

Experience with presentations. Ability to problem solve and to present suggestions and solutions in a clear and concise manner.

Other

A.

Able to communicate with members to handle complaints and problems, assist with questions, and recommend products.

B.

WORKING ENVIRONMENT

Clinical

18 days 14 hours ago

Kelsey-Seybold Clinic, Pa

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Pharmacy Resident-Managed Care Kelsey-Seybold Clinic, Pa - Pearland, TX, United States

   

Location: Pearland, TX

Company Profile:
Those seeking healthcare excellence in the Greater Houston area don't have to go far to experience the outstanding care of one of the most trusted names in medicine. Kelsey-Seybold Clinic provides convenient access to skilled and compassionate care through 21 neighborhood locations. Our goal: Deliver the most advanced and comprehensive medical care with a dose of old-fashioned caring and personal attention.