Healthcare Program Associate

Staffing Solutions Organization - Albany, NY

Full-time

Remote - Albany, NY

About the position

The Healthcare Program Associate at Staffing Solutions Organization LLC (SSO) is responsible for managing quality assurance reports, communicating program policies, and assisting with pharmacy claims adjudication. This role requires strong organizational and communication skills, as well as the ability to multitask effectively in a fast-paced environment. The associate will work collaboratively with internal and external stakeholders to ensure accurate program communications and compliance with policies.

Responsibilities

• Producing, evaluating, and project managing quality assurance reports using the Medicaid Data Warehouse (MDW) on a regular basis
• Reviewing program communications, reports, and website for accuracy
• Processing prior authorizations according to policies and procedures
• Communicating program policy and procedures to external stakeholders to aid in adjudication of pharmacy claims
• Making updates to the eMedNY drug file under the supervision of a pharmacist
• Drafting stakeholder communications about program updates for the Medicaid Update or pharmacy notification system.

Requirements

• Associate Degree
• 6 months experience in healthcare field
• Strong writing and organizational skills
• Ability to multitask and deliver on tight timeframes
• Effective verbal and written communication skills with internal and external stakeholders
• Experience using Microsoft applications including Outlook, Word, and Excel

Nice-to-haves

• Pharmacy experience
• Familiarity with pharmacy policy and/or legislation
• Experience handling phone inquiries and interpreting and providing guidance on policy

Benefits

• Compensation varies based on location, role, skill set, and experience
• Range of benefits offered