Healthcare Program Associate

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Healthcare Program Associate - Albany, NY

DPDM - 1209

Summary

The candidate should possess a professional approach to all aspects of their work; be able to effectively communicate verbally and in writing with internal and external stakeholders; have strong writing and organizational skills; be able to multitask and deliver on tight timeframes; work collaboratively with co-workers.  Preferred candidates will have experience handling phone inquiries and interpreting and providing guidance on policy. The candidate should have experience using Microsoft applications including Outlook, Word and Excel.

Preferred candidates will have pharmacy experience and be familiar with pharmacy policy and or legislation.

Responsibilities May Include: 

• Producing, evaluating, and project managing quality assurance reports using the Medicaid Data Warehouse (MDW) on a regular basis;
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• Reviewing program communications, reports and website for accuracy; processing prior authorizations according to policies and procedures; 
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• Communicating program policy and procedures to external stakeholders to aid in adjudication of pharmacy claims; 
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• Make updates to the eMedNY drug file under the supervision of a pharmacist; draft stakeholder communications about program updates for the Medicaid Update or pharmacy notification system. 

Education:

• Associate Degree,
• 6 months experience in healthcare field