We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Population Health Services-ValleyJob Profile Summary
Provides the manager performance monitoring, resolve pharmacy and medication related issues for members, review the practices and procedures , and provide pharmacy, benefit and compliance related expertise to Sutter. Works on a number of critical initiatives including: Audit vendor selection and audit, on site evaluation, clinical programs, like narcotic drug use review and adherence, specialty product channeling, compliance with regulations, cost analysis with possible rate negotiations and special studies. Is responsible for the coordination of services and cost effective management of pharmaceutical resources to meet individual members' health care needs and promote positive health care outcomes. The responsibilities include assessment, coordination, planning, monitoring and evaluation of multiple environments. Acts as a member advocate and liaison between providers, members, pharmacies and Sutter Health to seamlessly integrate services.
SKILLS AND KNOWLEDGE:
Knowledge of data fields required by National Council for Prescription Drug Programs (NCPDP).
Ability at running ad hoc reports from pharmacy claims data with strong PC skills including PowerPoint, Access, Outlook, Excel and Word.
Knowledge of Health Insurance Portability and Accountability Act (HIPAA), Health Care Reform, Business Code of Ethics and government regulated programs.
Ability to work collaboratively, prioritize functions, problem solve, and anticipate upcoming issues for the executives.
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $44.76 to $55.94 / hour
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Sutter Health is a not-for-profit, people-centered healthcare system providing comprehensive care throughout California. Sutter Health is committed to innovative, high-quality patient care and community partnerships, and innovative, high-quality patient care. Today, Sutter Health is pursuing a bold new plan to reach more people and make excellent healthcare more connected and accessible. The health system’s 57,000+ staff and clinicians and 12,000+ affiliated physicians currently serve more than 3 million patients with a focus on expanding opportunities to serve patients, people and communities better. Sutter Health provides exceptional, affordable care through its hospitals, medical groups, ambulatory surgery centers, urgent care clinics, telehealth, home health and hospice services. Dedicated to transforming healthcare, at Sutter Health, getting better never stops.
Learn more about how Sutter Health is transforming healthcare at sutterhealth.org and vitals.sutterhealth.org.
