Pharmacy Program Specialist - Remote

Job description

Pharmacy Program Specialist - Remote This position is responsible for performing technically detailed pharmacy and benefit audit work that impacts pharmacy and health plan operations, programs, and information systems within the Pharmacy Services Department of the Healthcare Experience & Operations Division. Responsibilities include monitoring and validating CDAG and ODAG universes, completing monthly and ad hoc remediation, and supporting mock and live RCGA audits through evidence preparation and audit response activities. The role authors and maintains CDAG and ODAG desk procedures and audit documentation, and performs related technical duties as assigned. The position communicates directly with RCGA, federal and state regulatory entities, pharmacists, nurses, physicians, and other healthcare providers and their staff regarding audit findings, claims, and medication management programs. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and re...