Admin/Operations Support
Job Overview
The PBM Operations Support role performs a variety of tasks in support of the Pharmacy Benefit Management (PBM) department. This will include both daily tasks and strategic projects.
Shift: 20-30 hours/week,
Monday - Friday, flexible hours
Responsibilities
- Performs general administrative functions in support of the PBM team
- Proactively notifies network pharmacies (LTC/SNF/ALF) of patient election to hospice and the medications covered/not-covered for each patient
- Ensures patient eligibility is accurate within the OnePoint Patient Care processing system
- Assists with various questions from network pharmacies
- Assists with state compliance/audit requests
- Assists with special projects as required
- Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Qualifications
- High School Diploma or equivalent
- One year of related experience
- Excellent relationship management skills with the ability to work effectively with management and staff at all levels both internally and externally
- Self-starter who is able to work independently and communicate effectively to include both verbal and written communication
- Experience with Windows software programs including but not limited to Excel.
- Strong organizational and planning skills
About Us
Notice of Use of Artificial Intelligence Tools in the Recruitment Process
At BrightSpring Health Services, our LEGACY culture guides how we lead, how we serve, and how we show up for one another. We are committed to doing the right thing—leading with integrity, accountability, and transparency in all that we do. As part of this commitment, we share that we may use third-party artificial intelligence (AI) to process employment data in connection with our hiring processes. Any AI tool that we use always has humans in the loop; we do not use AI to automate employment decisions or to discriminate, and we do not use zip codes as proxy. Humans – our hiring leaders and recruiter – make final decisions. BrightSpring Health Services provides reasonable accommodations to qualified applicants and employees with disabilities; if you would like to request a reasonable accommodation, please contact your recruiter or send an inquiry to TalentAcquisition@brightspringhealth.com. For more information about how our company uses AI in the hiring process, contact TalentAcquisition@brightspringhealth.com.
BrightSpring is an Equal Opportunity Employer.
BrightSpring Health Services and its affiliated companies provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
If you have a disability and are unable to use our online tools to search or apply for jobs, we would like to assist. Please contact us for accommodation assistance.
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information.
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