Manager Data and Compliance PBM
BrightSpring Health Services
Our Company
OnePoint Patient Care
Overview
The Data and Compliance Manager is responsible for analyzing data, performance metrics, and developing KPI for the PBM Services team and assisting the Vice President with maintaining nationwide regulatory compliance. They will also assist the PBM Services team with escalated customer service issues, training, and other tasks as assigned by the Vice President and/or Director – Hospice PBM Services.
Responsibilities
Analyzes PBM Services data to ensure departmental performance is satisfactory and work with individual team members as needed to improve their performance
Regularly measure actual performance versus expectations and KPI and propose changes to baseline metrics as needed
Develops and maintain documentation for PBM Services data management procedures and processes
Identifies and format information about PBM operations and liaise with the BrightSpring compliance team as required to remain compliant with state regulations, on a state-by-state basis
Interfaces with internal IT teams to automate processes to improve efficiency and perform end user testing on new developments to ensure suitability for deployment
Supports the Business Analyst team in maintaining and managing the PBM system and performing customer/pharmacy analysis
Assists and augment Director – Hospice PBM Services and Vice President – Hospice PBM Services as needed
Supports the physical deployment of new and moving OnePoint pharmacy locations
May participate in orientation, training, competency assessment and yearly evaluation of Hospice PBM Technicians
Assists with escalated customer service issues and assist PBM staff with resolving complex pharmacy rejections
Qualifications
EDUCATION/EXPERIENCE• High School Diploma or equivalent.• 2 years of related experience.
KNOWLEDGE/SKILLS/ABILITIES• Excellent customer service skills.• Excellent relationship management skills with the ability to work effectively with management and staff internally and externally.• Experience with OnePoint Patient Care’s PBM system, Pharmacy system, and proprietary applications for patient maintenance.• Experience with Microsoft Office suite (Word, Excel, etc.) with excellent communication and writing skills.
To perform this position will require frequent standing, sitting, and walking. It will require occasional bending, reaching, climbing (stairs/ladders), crawling, kneeling, crouching, stooping and typing on a keyboard with fingers. The physical requirements will be the ability to push/pull and lift/carry 11-20 lbs
About our Line of Business
About OnePoint Patient Care OnePoint Patient Care is the nation’s leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services – offering hospices nationwide flexible and adaptable solutions for their hospice pharmacy needs. OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients per day. Through its Concierge PBM, Next Day Valet mail order and Direct Express local services, OnePoint serves more than 350 hospice programs and is available in 50 states. OnePoint was one of the first pharmacies to begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint has grown to be one of the leading national hospice pharmacies with 15 locations strategically positioned throughout the United States, with additional plans for expansion. For additional information on what OnePoint can do, visitwww.oppc.com or call (866) 771-OPPC. Follow us onFacebook (https://www.facebook.com/oppcrx) ,Twitter (https://twitter.com/oppcrx) , andLinkedIn (https://www.linkedin.com/company/onepoint-patient-care/) .
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-IL-MORTON GROVE
ID 2024-153978
Line of Business OnePoint Patient Care
Position Type Full-Time