Education & Outreach (E&O) Pharmacy Service Representative - California, Rancho Cordova

The announced job offer is made public by the firm: Magellan Health Services and it was included in jobs list the date of: 2022-10-22 in the website greenenergyjobsonline.com.

It is announced that they have a job offer at the category of Array and the jobs location is in the state of California at the city Rancho Cordova, in the country US - at this current ZipCode: 95670

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Ensures providers and prescribers are aware of Plan policy and requirements for claims submissions and/or prior authorization (PA) requests. Conducts outbound calls and visits to prescribers or pharmacy providers who need assistance, or for proactive outreach. Travel may be required and varies by client. Additional responsibilities include reporting, letter preparation, and other duties to assist the Pharmacist Account Executive (PAE) or Clinical Account Manager in providing support to the client. + Supports provider outreach for planned clinical activities through letter preparation and tracking. + Supports outcomes reporting for various projects. + Serves as the company s representative in the field and effectively communicates with providers about company policies, procedures, contractual requirements, and other issues. + Works with Clinical Account Manager (or PAE) to draft, clarify, and recommend changes to policies that have an impact on network management and clinical outcomes. + Conducts provider site visits and audits, or desk audits, in collaboration with Quality Improvement staff. + Evaluates provider compliance with company policies and procedures as well as with clinical and administrative standards required by the client. + Provides issue resolution and complex trouble shooting skills to providers, acting as the liaison between the company, the Plan, and the provider community, with the goal to reach satisfactory results without the need for client intervention. + Supports the Clinical Account Manager (or PAE) in providing trends reporting and evaluating claims for outlying providers who may have issues or irregular habits as it relates to pharmacy claims submission or prescribing. + Conducts and evaluates provider educational activities. + Designs and develops provider training and educational materials, and the planning and coordination of provider meetings, seminars, and conferences. + Reports activities and results to the client, seeking feedback for future planned outreach. Other Job Requirements Responsibilities Bachelor's degree with a minimum of three years' pharmacy or other healthcare experience. An equivalent combination of experience and education will be considered. Proficiency with Microsoft Office. Excellent written and verbal communication skills. Strong organizational skills. General Job Information Title Education & Outreach (E&O) Pharmacy Service Representative Grade 20 Work Experience - Required Healthcare, Pharmacy Work Experience - Preferred Education - Required A Combination of Education and Work Experience May Be Considered., Bachelors - Healthcare Education - Preferred License and Certifications - Required License and Certifications - Preferred CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy Salary Range Salary Minimum: $41,505 Salary Maximum: $62,255 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.