Aetna Pharmacy Service Manager in New Albany, Ohio
Req ID: 51534BR
Clinician with strong communication skills working w/ multi-disciplinary care team outreaching to both Provider and Member to solve all medication related issues
Clinical review: 40%
Member/Provider education: 20%
Communication to clinicians/members & caregivers: 20%
Financial Knowledge: 20%
In-depth knowledge and experience in managed care / managed pharmacy / competitive environment.
3 years clinical pharmacy/administrative experience or equivalent.
ability to work with multidisciplinary care team
The highest level of education desired for candidates in this position is a Doctor of Pharmacy.
LICENSES AND CERTIFICATIONS
Managed Care/Managed Healthcare Professional is desired
Communications/Toast Masters International is desired
Pharmacy/Registered Pharmacist is desired
Functional - Clinical / Medical/Disease management/1-3 Years
Functional - Management/Management - Health Care Delivery/1-3 Years
Functional - Communications/Member communications/1-3 Years
Functional - Finance/Financial analysis/1-3 Years
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Remote Access/Cisco VPN (hardware and software suite)/1-3 Years/End User
Benefits Management/Interacting with Medical Professionals/ADVANCED
Finance/Profit and Quality Vigilance/FOUNDATION
General Business/Communicating for Impact/MASTERY
Leadership/Collaborating for Results/ADVANCED
Telework would be available d/t weather, emergency, power outages, etc. Otherwise work location is at the above address in New Albany, Ohio (Nacot Place)
ADDITIONAL JOB INFORMATION
Opportunity to join the largest member-centric healthcare provider
Become a member of the newest & fastest growing segment of Case Management
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Health Care