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Pharmacy Support Analyst

Unissant
United States, United StatesRemotefull_timeVerifiedPosted 26 Nov 2024

About the role

Unissant, Inc. delivers innovative capabilities to the agencies that keep our nation healthy and safe. We apply our domain expertise, data acumen, and technology know-how to achieve breakthrough results for our clients. Working collaboratively, we advance missions and careers through a focus on honesty, integrity, and dependability. We continuously look for talent excited to join that effort. To learn more about our exciting organization, please visit us at www.unissant.com.

We are seeking a Pharmacy Support Analyst to join our team and support our customer.

Federal Ceiling Price (FCP) Support: The Department of Defense (DoD) receives Federal Ceiling Prices in the military treatment facilities and the TRICARE Mail Order Pharmacy program. Through authority provided in Section 703 of the FY08 National Defense Authorization Act and the final implementing regulation, DoD now obtains similar federal pricing discounts in the TRICARE retail network pharmacies.

This is a 100% REMOTE position.

Essential Duties and Responsibilities:

The position requires understanding of technical and clinical requirements, ability to conform to government contracting processes, strong organizational skills and the ability to multitask while performing with the highest professional conduct. The successful candidate will:

  • Provide support for the implementation, operation, and maintenance of the TRICARE Retail Pharmacy Refund program, Federal pricing initiatives and other related tasks.
  • Assist in reconciling manufacturer quarterly refund payments and disputes of Defense Health Agency (DHA) refund utilization data.
  • Track, monitor, and maintain metrics on dispute resolution and reconciliation of manufacturer payments.
  • Draft/ assist in preparation of information papers, briefings, standard operating procedures, and audits.
  • Maintain, monitor, and track the UFVARR Requests mailbox, Pharmaceutical Manufacturers website, and DoD FCP SharePoint site.
  • Serve as the primary point of contact between the DHA Pharmacy Operations Division (POD) and Pharmaceutical Manufacturers regarding the TRICARE Retail Refund program and reconciliation of manufacturer payments.
  • Serve as the primary point of contact between the POD and Pharmaceutical Manufacturers and Health Information Technology (HIT) regarding access and use of the TRICARE Retail Refunds Website (TRRWS).
  • Serve as the refund program functional point of contact for TRRWS requirements, security upgrades, and future enhancements.
  • Solicit technical information from various Government and civilian organizations.
  • Monitor, schedule and assist with action items as required.
  • Organize work group meetings and record notes from meetings as required.
  • Assist in development and revision documentation of policies, processes, and procedures.
  • Attend meetings as requested and performs other related duties as assigned.
  • Act with autonomy towards the mission and vision of the POD.
  • Provide administrative support to the POD DoD Uniform Formulary Beneficiary Advisory Panel (BAP).
  • Attend the quarterly BAP meetings and assist with registration and set-up as needed.
  • Make copies of BAP meeting materials and arrange for transportation to the meeting site.
  • Perform other duties as required by management

Work Experience:

  • At least two years' work experience in pharmacy, preferably a pharmacy technician.
  • Experience working with pharmacy billing and/or refund processing with one of the following entities: pharmacy or chain drug store; health plan, insurer, pharmacy benefit manager, or pharmaceutical manufacturer.
  • Familiarity with processes associated with, pharmacy billing for retail prescriptions, standards for refund calculations, submission of pharmacy refund documents, resolution of disputes associated with pharmacy receivables and payment detail, preparation of monthly performance reports, National Council for Prescription Drug Programs

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Company

Unissant

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