Pharmacy, Associate, Pharmacy Specialist

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for an Associate, Pharmacy Specialist to join #TeamMVP. If you have a passion for accuracy, collaboration, and healthcare this is the opportunity for you.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you'll bring:

• AAS degree preferred, or equivalent combination of education and experience required.

• Strong written and verbal communication skills using different tools (email, fax, phone, etc.)
• Strong data entry skills with superior attention to detail
• Moderate to strong computer literacy with proficiency in MS Word, Excel, and Outlook
• Ability to work independently in a team environment with desire to help others
• Strong desire to learn, improve and adhere to complex processes as defined
• Excellent customer service skills and ability to deal with stressful calls in a professional manner

• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• This position will help licensed pharmacists take care of many of the daily operations of the pharmacy department
• Having knowledge of pharmacy benefits for MVP's multiple lines of business, formularies, and policies
• Managing incoming faxes requesting drug coverage
• Determining eligibility and evaluating pre-authorization requirements using multiple systems
• Obtaining additional information and initiating cases for review when appropriate for multiple lines of business
• Preparing cases for review by Pharmacists
• Requesting additional clinical information for case completion from provider via verbal and fax requests
• Completing case files by creating member/provider written notifications and making outgoing calls to provide members/providers with determinations
• Ensures that regulatory timeframes are met using learned knowledge and daily tracking
• Loading different types of authorizations and testing for accuracy
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

Location: Virtual within New York State

• Fishkill Office, 300 Westage Business Center Drive, Fishkill, New York, United States of America
• Headquarters Office, 625 State Street, Schenectady, New York, United States of America
• Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America
• Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America