|Department||Health Care Authority|
|Date Opened||2/6/2020 11:00:00 AM|
|Filing Deadline||2/18/2020 11:59:00 PM|
|Full or Part Time||
Incumbents in this class perform diverse administrative support duties that require specialized knowledge as it relates to the interpretation of state, agency or departmental policies, procedures, regulations and laws. The primary emphasis is the accomplishment of work through the performance of complex administrative support duties requiring the coordination of a variety of activities and the knowledge of a specific or specialized subject matter(s).
Paraprofessional work requires workers to possess the very basic knowledge of and perform some of the duties of a professional, but in a supportive capacity. Incumbents will perform the routine duties associated with the unit when subordinate personnel are absent or during periods of heavy workload. The assignments consist of a wide variety of specialized support functions that are of a highly specialized nature requiring knowledge of a specific area(s).
The pharmacy department is responsible for administering the prescription drug benefit for SoonerCare clients. The pharmacy department and related tasks are divided into three functional units. The Pharmacy Operations unit is focused on the daily tasks required to process pharmacy claims, monitor utilization trends, and communicate with providers. The Drug Rebate Unit is focused on invoicing and tracking rebates from pharmaceutical manufacturers. The Clinical Unit focuses on patient-specific problems, specialty pharmaceuticals, physician administered drugs, and other policy-related concerns.
*Be the first point of contact for the Pharmacy Department. Answer phones for Pharmacy Department,
*Manage the pharmacy email inbox. Manage incoming and outgoing mail.
*Update and maintain a variety of reports on the pharmacy intranet page. These include MAR report, College of Pharmacy (COP) monthly report, pharmacy prior authorization activity, call center reports and COP billing reports.
*Scan all pharmacy and Medicaid Drug Rebate Program (MDRP) rebate documents with a 95% accuracy rate. This includes supplemental rebate agreements, drug rebate reports, and drug rebate payments.
*Responsible for obtaining drug rebate payments from finance and transfers to the assigned Drug Rebate staff member
*Attends and participates in agency meetings as directed by supervisor. Coordinates pharmacy staff meeting agendas and takes notes. Compiles meeting minutes to be distributed to department staff within two business days.
*Provides Drug Utilization Review (DUR) Board meeting support as directed by supervisor. This may include meeting minutes, meeting attendance records, drug manufacturer representative coordination, distribution of DUR documents, and other documentation as required.
*Performs routine periodic reports; may prepare invoices and payments of claims, budget requests and activity reports, travel requests, travel claims.
*Reviews complex reports for completeness, accuracy and conformance to standards; personally follows-up on discrepancies.
*Serves as social and safety coordinator for the pharmacy department as assigned.
*Maintains paper and micro media files of online data changes according to State and Federal regulation.
*Researches data records via online computer, MMIS system, and paper maintenance records.
*Organizes and maintains files and records of a confidential, complex or otherwise sensitive nature.
*Understands the use of computer technology (office software and MMIS applications) and assists other Division employees as well as users in use of PCs, document preparation and file update auditing and archiving.
*Coordinates assigned activities with individuals or units outside the work area.
*Responds to calls and emails in an appropriate manner, preferably within 24 hours.
*Interviews callers and disposes of routine agency business they may present; makes appointments with higher agency officials as required.
*Coordinates and tracks all applicant correspondence.
*Coordinate travel and compile travel expense reports for department members. Assist in other travel related activities as requested.
*Analyzes, researches, investigates, and/or resolves both routine and technically difficult pharmacy claims. Initiates action to correct erroneous pharmacy claims, recover funds, or make final disposition of a claim for payment.
*Prepares reports for Pharmacy and Drug Rebate managers in order to resolve disputes, discover provider submission discrepancies, and investigate any irregularities. Uses various database systems to retrieve data to be compiled analyzed in the creation of these reports.
*Serve as back up for the Drug Reference Coordinator.
*Other duties as assigned.
EDUCATION AND/OR EXPERIENCE:
Associate’s degree AND 18 months of pharmacy tech experience; OR a minimum of 3.5 years of SoonerCare Pharmacy experience; OR an equivalent combination of education and experience totaling 3.5 years.
PREFERENCE MAY BE GIVEN TO CANDIDATES WITH:
*Pharmacy experience as a pharmacy technician or pharmacy clerkship.
*SoonerCare work experience
*Health insurance work experience
*Office Manager experience
*Spreadsheet or database experience (Excel, Access, Word, Outlook, PowerPoint, MMIS)
The Oklahoma Health Care Authority complies with applicable Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.
Veteran’s preference points apply only for initial appointment in the classified service.