Pharmacy Benefits Management Specialist
Healthcare, Pharmacy, Doctors Jobs
- Expires 23 Oct 2020
- Bulawayo
- Full Time
Job Description
Our organisation is seeking to recruit highly qualified and experienced individuals to join our dynamic and professional team. Applications are invited from suitably qualified and experienced candidates for the following positions:
The Position:
Reporting to the Utilisation Management Specialist, the position shall be responsible for the following, among other duties:-
Duties and Responsibilities
• Advises on adjudication, reimbursement and pricing of pharmaceutical claims rules in line with our organisation's strategy;
• Provides member support through member education on formulary and plan benefits, prior authorization process, and coordinates with other network pharmacies to address member concerns related to pharmacy benefits;
• Develops evidence based formulary that is appropriate for the organisation's benefits structure;
• Leads in reference pricing of specific drug classes to appropriate generic or reference agents;
• Designs appropriate oncology pharmaceutical programme that is in line with the benefit design and underpinned by local and international oncology guidelines;
• Responsible for the formulation and implementation of the medicines optimization strategy;
• Profiles diseases of patient groups and make risk adjustment in line with their disease coding and pharmaceutical prescribing patterns;
• Proactively reports on new therapies, prescribing trends and future risks.
Qualifications and Experience
Person Specifications:
• A Bachelor of Pharmacy Degree or equivalent;
• Postgraduate qualification of Master of Public Health or Health Economics is an added advantage;
• At least 5 years experience in healthcare management
• Exposure to pharmacy benefits management is also an added advantage;
• Highly computer literate;
• Good interpersonal skills.
How to Apply
If you meet the minimum person specifications above and are prepared to join a dynamic team of professionals, please submit your application together with your detailed CV by not later than Friday 23rd of October 2020 to:-
The Advertiser Di6517706
Herald Office
HARARE
N.B. Only short listed candidates will be responded to.
