Description

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Do you wish to join a team of pharmacy professionals? We at Providence Health Plan (PHP) Pharmacy are looking for you to join our team. We support our pharmacy plans and the member care by providing our expertise in the application of pharmacy benefits management. This means that we have a phone center and prior authorization center focus. Excellent communications skills and attention to detail are required for this role. Daily work involves an inbound call center setting that communicates directly with various departments within the health plans, members, network pharmacies, and other health care providers and their staffs regarding medication management programs and initiatives. The position also communicates directly with state and federal regulatory entities. We are excited to receive your application join our team of highly skilled professionals at Pharmacy Member Services.

Providence Health Plan is calling a Supervisor, Pharmacy Training and Quality Assurance who will:

• Supervise a team of exempt professional trainers

• Be responsible for instruction design with ongoing quality assurance

• Be accountable for all non-clinical pharmacy training in numerous format delivery not limited to instructor led training, self-review, learning management software, and individual coaching

• Be responsible for keeping all pharmacy resources and instructional materials up-to date as a component of continuous quality assurance

• Provide a quality assurance function for Providence Health Plan PHP Pharmacy non-clinical information resources

• Coordinate with quality improvement initiatives and projects

• Support ongoing day-to-day production needs and creative problem-solving

• Be responsible for supporting timely, accurate and compassionate member experience through caregiver training

• Be responsible for all training material and instruction for all lines of business, including public programs or Centers for Medicare & Medicaid CMS, Large and Small Group, Individual / federally facilitated marketplace FFM and administrative services only ASO

• Be responsible for improvement in training and development in production, efficiency, quality and automation for call center training, prior authorization processing, all pharmacy units, and other contacts in order to meet and exceed the service expectations of members, providers, employer groups, regulators and auditors

We welcome 100% remote work for residents who reside in one of the following Regions:

• Oregon: Portland, Beaverton, Salem

• Washington : Clark County

Required qualifications for this position include:

• Associate's Degree and 6+ years of related management / industry experience -OR- a combination of equivalent education and experience

• Oregon Pharmacy Technician License

• National Pharmacy Technician Certification within 1 year of hire date

• 2+ years of customer service experience

• 1+ years of office 365 suite and MS Teams experience

• 2+ years of documented training and mentoring experience

Preferred qualifications for this position include:

• Bachelor's Degree in Business Management, Healthcare Administration, Accounting, or another related field field of study and 4+ years management / industry experience

• 5+ years customer service experience

• 3+ years pharmacy technician experience

• Managed care pharmacy experience

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 255266
Company: Providence Jobs
Job Category: Member Services Enrollment & Billing
Job Function: Health Plans Services
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 5018 PHARMACY OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Pay Range: $34.96 - $55.34
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.