Pharmacy Payment Integrity Program Development Lead
Devoted Health(1 month ago)
About this role
The Pharmacy Payment Integrity Program Development Lead at Devoted Health is the strategic owner of the pharmacy program focused on reducing improper prescription drug payments within the Medicare Advantage Prescription Drug (MAPD) line. The role centers on program development and regulatory oversight to improve payment accuracy and compliance across the organization. It supports Devoted’s mission to deliver integrated healthcare solutions for older Americans.
Required Skills
- Payment Integrity
- FWA Detection
- Claims Analysis
- Medicare Part B/D
- SQL Querying
- Policy Research
- Vendor Management
- Stakeholder Management
- Presentation Skills
- Regulatory Compliance
Qualifications
- Bachelor's Degree
- Pharmacist (desired)
- CPhT (desired)
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