The PBM Account Specialist provides support to clients of OHSU Pharmacy Benefit Management Services. Support includes but is not limited to implementation of services, quarterly business reviews, escalated issue resolution, and data management.
Manage ongoing contractual relationships and service delivery to clients.
Coordinate and provide final resolution on all escalated issues and service concerns.
Serve as primary point of contact for overall and day-to-day service delivery for clients including but not limited to call center activities, benefit design, and claims adjudication systems.
Identify trending areas of process improvement opportunities, determine client reporting needs, and coordinate with data analytics to deliver standard and custom reporting.
Participate in strategic planning, education, and promotion of pharmacy benefit management.
Oversee audit and survey program to facilitate development and implementation of program in supporting service/performance standards.
Participate in contract review and support for negotiations with client book of businesses.
B.S. degree or field directly related to position
3+ years of health plan or PBM experience in account management
Excellent written and verbal communication skills
Proficiency in MS Office applications (Excel, Visio, Word)
Pharmacy and medical claims adjudication knowledge
Experience in PBM and account management
Two or more years of pharmacy technician experience
Project management skills
Team based process improvement skills
Understanding of contractual obligations and meeting performance guarantees
Additional Salary Information: Salaried position eligible for merit increase annually
Internal Number: IRC 70646
About Oregon Health and Science University
OHSU's singular focus on improving health starts with Oregonians and has global impact. We are the only academic health center in Oregon, but we're also nationally distinct as a university dedicated solely to advancing health sciences. This allows us to concentrate resources on research to prevent and cure disease, on education that prepares physicians, dentists, nurses and other health professionals to succeed in an evolving health care environment, and on patient care that incorporates the latest knowledge and discoveries.
Based in Portland, we have 16,000 employees, operate the top-ranked adult and children's hospitals in Oregon, and secure competitive research funding of more than $400 million a year. As a public organization, we provide community outreach and services for Oregon's most vulnerable populations.