Pharmacy Management Analyst

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Chief Medical Officer is seeking a Pharmacy Management Analyst to join our team!

As the Pharmacy Management Analyst, this position will coordinate with the Medicaid Pharmacist and other pharmacy staff in supporting the outpatient pharmacy prescription drug benefits. The position will require experience and understanding of Medicaid claims processing at a community pharmacy.

The position will be expected to understand and plan for Medicaid Fee for Service (FFS) pharmacy policy, understand and oversee claims processing at the vendor level, pharmacy benefit Administrator (PBA) practices, the 340B Drug Pricing Program and the Medicaid Drug Rebate Program that includes review of draft reports and documents, tracking resolution of disputes, compliance with all program requirements, participation in any audits and maintenance of state level medication rebate agreements.

The position will ensure policy documentation, evaluation and development of difficult/complex management improvement processes, procedures, and practices and perform process improvement functions related to the Medicaid pharmacy program. Understand and integrate business information technology systems to support core organizational functions/business processes with a vendor for Medicaid pharmacy program.

The position will manage a wide variety of projects related to Medicaid pharmacy to improve processes, procedures, operations, technologies, and/or practices. and development of new, pharmacy related state administrative rules, federal state plan amendments, manuals, guides and informational letters in coordination with the Medicaid Pharmacist.

The position will coordinate and collaborate with the Medicaid Pharmacist and internal and external pharmacy staff, contract staff and committees to ensure compliance with both Federal and State regulations to meet the goals, objectives, and priorities of the program.

The position will collaborate with the Medicaid Pharmacist, other pharmacy staff and medical staff to develop and expand medical pharmacy services with respect to state policies and Federal and State regulations.

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you’ll enjoy a comprehensive benefits package designed to support your well‑being and professional growth:

• Health, Dental, and Vision Coverage:Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage!
• Paid Time Off:Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
• Retirement Plans:Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
• Flexible Spending Accounts:Take advantage of flexible spending accounts for medical and dependent care expenses.
• Insurance Coverage:Benefit from life insurance and free long‑term disability insurance for added peace of mind.
• Employee Assistance Program:Access resources and support through our Employee Assistance Program for personal and professional challenges.
• Employee Discount Programs:Enjoy discounts on a variety of goods and services through our employee discount programs.

For additional information on benefits .

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Applicants will be required to complete a background check to be considered for this position.

HHS values those with lived experience and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa TDD).

The State of Iowa participates in E-Verify, a federal program that…