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Job description
Pharmacy Benefit Administrator
Under the supervision of the Pharmacy Director, all Pharmacy functions to be completed using the outlined policies, procedures and standards developed for providing the maximum level of services to assure that care is provided to all patients including adult, adolescent, pediatric and neonatal patients.
The Pharmacy Benefit Administrator is responsible for managing and overseeing all aspects of the pharmacy benefit program for Comanche County Hospital Authority's self-insured health plan. This position requires a licensed pharmacist who will optimize medication therapy outcomes while controlling costs, ensuring regulatory compliance, and providing clinical oversight of pharmaceutical services for plan members.
Education:
1. Must be a graduate of a College of Pharmacy accredited by the American Council of Pharmaceutical Education.
Regulatory Requirements (If Applicable):
Current Oklahoma Pharmacy License as a Registered Pharmacist.
Must maintain licensure and meet continuing education requirements
Preferred Qualifications:
Knowledgeable in the specialized functions of retail pharmacies
Strong drug product and clinical pharmacy knowledge
Comprehensive knowledge of pharmacology, therapeutics, and medication management
Understanding of pharmacy benefit design and management principles
Strong analytical skills with ability to interpret pharmacy claims data
Knowledge of pharmacy reimbursement methodologies (AWP, MAC, WAC, etc.)
Familiarity with ERISA, HIPAA, and healthcare regulatory requirements
Prior retail experience
Current Oklahoma Pharmacy Preceptor License
Completed a residency program accredited by the American Society of Health-System Pharmacists (ASHP)
Board certification (BCPS, BCACP, or related specialty)
Prior authorization or utilization management experience
Experience with formulary development and management
MBA or health administration degree
Worksite address
lawton, OK, 73505, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.