Job Details

Pharmacy Ops Oversight Specialist

  2025-11-06     Cambia Health Solutions     Medford,OR  
Description:

Pharmacy Ops Oversight Specialist Work from home within Oregon, Idaho, or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambias dedicated team of Pharmacy Ops Oversight Specialists are living our mission to make health care easier and lives better. As a member of the Pharmacy Operations team, our Pharmacy Ops Oversight Specialists assist in planning, coordinating, conducting, and reporting on pharmacy operations activities carried out by delegated entities which provide Pharmacy Benefit Management services to Cambias Medicare Part D, Exchange or commercial portfolio. Specifically, this job performs oversight of vendors delegated responsibilities which may include: Prescription Drug Event (PDE); Coverage Determinations, Appeals, and Grievances (CDAG); Formulary Administration (FA); Refund and Recovery (RR); and other operations oversight functions as assigned. Supports CM...Specialist, Pharmacy, Operations, Pharmacy Technician, Healthcare, Benefits


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