Pharmacy Auditor

Title: Pharmacy Auditor

State Role Title: Pharmacist II

Hiring Range: $135,080 - $140,080

Pay Band: 6

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as a Pharmacy Auditor. The selected competitive candidate will provide exceptional delivery of services to the agency’s Office of the Chief Medical Officer.

Job responsibilities will include, but are not limited to:

Responsible for ensuring the integrity and effectiveness of pharmaceutical operations within the Virginia Medicaid program.

This includes developing, monitoring, and evaluating pharmacy policies, procedures, and standards of care based on evidence-based and data-driven insights.

The Pharmacy Auditor will conduct pharmacy claims audits, analyze healthcare cost and utilization data, and leverage expertise in federal and state Medicaid pharmacy regulations to identify opportunities for optimizing medication therapy, improving patient outcomes, and generating program value.

This highly collaborative position requires an independent, multidisciplinary pharmacist capable of working across agency departments.

Must be a current Pharmacist or have the ability to attain licensure in Virginia within first 3 months.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Experience in managed care pharmacy.

Experience in working with and analyzing pharmacy claims data and interpretation.

Experience in designing and implementing audits.

Experience with Microsoft suites.

Considerable experience in creating standards and evaluating healthcare reports.

Considerable experience in working with state and federal regulations.

Considerable experience managing multiple priorities and projects concurrently to meet deadlines.

Experience working with internal and external stakeholders.

Considerable experience creating reports and presentations to convey complex information.

Current Pharmacist License with the ability to attain licensure in Virginia within first 3 months.

Additional Considerations

Competitive candidates should meet these additional considerations:

Considerable experience in project management.

Considerable experience in multiple pharmacy practice settings.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

This position requires the submission of a Statement of Economic Interest (financial disclosure).

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically th