Pharmacy Benefit & Compliance Specialist - Remote in Virginia
Sentara Health Administration, Inc. —Richmond, VA
- Full-time
- Remote
- High school diploma or GED
- SQL
- Analysis skills
- 403(b) matching
- Paid parental leave
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4d
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FreedomCare —Richmond, VA
- $23 - $26 an hour
- Home Health
- 1 year
- Communication skills
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Retirement Plan Specialist
McGuireWoods LLP —Richmond, VA
- $71,800 - $104,200 a year
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Benefit Programs Specialist III
Virginia Department of Social Services —Petersburg, VA
- $55,000 a year
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Benefit Programs Specialist III
053-Dinwiddie Dept Of Social Services —Dinwiddie County, VA
- $55,010 a year
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Benefit Programs Specialist III
730-Petersburg Dept Of Social Services —Petersburg, VA
- $55,000 - $70,000 a year
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Specialist, Compensation
Richmond Public Schools —Richmond, VA
- $75,345 - $115,866 a year
- Weekends as needed
- School experience
- Management
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Manager, Total Rewards
Richmond Public Schools —Richmond, VA
- $100,993 - $155,310 a year
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13d
Director, Benefits
McGuireWoods LLP —Richmond, VA
- $180,400 - $288,600 a year
- Full-time
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Richmond Behavioral Health Authority —Richmond, VA
- Full-time
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Referral Specialist - Full benefits, no weekends!
Eye Care Partners Career Opportunities —Henrico County, VA
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- Windows
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Benefits Analyst
NewMarket Services Corporation —Richmond, VA
- $60,000 - $75,000 a year
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- 5 years
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North America Benefits Partner
Alfa Laval —Richmond, VA
- $95,000 - $125,000 a year
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1d
Referral Specialist - Full benefits, no weekends!
Commonwealth Eye Care Associates —Henrico County, VA
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Employee Benefit Plan (EBP) Senior Auditor
Brown Edwards —Colonial Heights, VA
- $60,000 - $95,000 a year
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Virginia Union University —Richmond, VA
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- 5 years
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Administrator, Benefits
Estes Express Lines —Richmond, VA
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Information Technology Senior Management Forum —Richmond, VA
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Patient Coordinator Manager - Ophthalmology - Full benefits, paid local travel
Eye Care Partners Career Opportunities —Richmond, VA
- $25 - $31 an hour
- Full-time
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- HIPAA
- Travel reimbursement
- Paid parental leave
Quick Apply
Client Manager EHB
Marsh McLennan Agency —Richmond, VA
- Full-time
- Hybrid work
- Microsoft Excel
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Pharmacy Benefit & Compliance Specialist - Remote in Virginia

Sentara Health Administration, Inc.
Richmond, VA

Quick Apply

Job Details

Full-time
4 days ago

Benefits

403(b) matching
Paid parental leave
Caregiver leave
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
403(b)
Life insurance
Pet insurance

Qualifications

Managed care organization experience
High school diploma or GED

Full Job Description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Healthcare is currently hiring a Pharmacy Benefit & Compliance Specialist- Remote in Virginia!

Status: Full-time, permanent position (40 hours)

Work hours: 8am to 5pm EST, M-F

Location: This is a remote position in Virginia.

Job responsibilities:

This position is responsible for supporting the Pharmacy Department's day-to-day operations for the benefits and compliance of all products and lines of business.
Provides subject matter expertise related to analysis, implementation, and process improvement activities in support of the Pharmacy Department.
The Pharmacy Benefit & Compliance Specialist creates and maintains reports for business operations and special projects as it pertains to operational processes.
Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business.
Assists in the implementation, maintenance and improvement of information systems.
The person should listen carefully to others in order to respond appropriately and professionally, answer questions, or obtain needed information with respect to pharmacy issues.
This position will strongly collaborate with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs.

Education

HS - High School Grad or Equivalent REQUIRED

Certification/Licensure

None required

Experience

Managed Care- 1 year REQUIRED
Compliance - 1 year highly preferred
Pharmacy or Pharmacy Benefit Management (PBM) system experience preferred
Strong proficiency in Microsoft Office Suite especially Excel preferred
Experience in SQL a plus

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-100237

Talroo-Health Plan

Keywords: Managed Care, MCO, Healthcare, Health Plan, Health Insurance, Remote, Virginia, VA, Pharmacy Benefit, Compliance, Specialist, PBM, Express Scripts

Benefits: Caring For Your Family and Your Career

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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