Pharmacy Benefit Program Assistant (Closes 6/15/2025)

Summary

The OBH Pharmacy Benefit Program Assistant will provide administrative support and data check/entry duties for the OBH Behavioral Health Pharmacy Benefit Program (PBP).  Incumbent will perform data entry/maintenance of applicable databases; assist with pharmacy benefit operations, work with authorized providers to troubleshoot prescription issues that may arise.  Incumbent will coordinate communications with stakeholders, as necessary, and conduct follow-up activities, maintain correspondence, and record keeping.

Essential Duties and Responsibilities

Pharmacy Benefit Program

- Ensures eligibility status of consumers.
- Inputs data into custom database, as well as Excel spreadsheets.
- Checks Dept. of Human Services Client Information and Payment System (CIPS) platform to verify information on the Maximum Liability Form 878.
- Works with providers to resolve problems with incorrect data and incomplete 878s.
- Provides, as needed, administrative support for the PBP.
- Organizes and maintains electronic and hard copies of incoming documents.
- Ensures that the Supervisor is aware of any problems that may arise.
- Performs pharmacy-related Internet queries as required.

Administrative Support

- Maintains the database of stakeholders to enable effective communication.
- Establishes mail and e-mail distribution lists to ensure dissemination of information in a timely manner.
- Coordinates, schedules and follows up on meetings with stakeholders for the OBH PBP staff, as directed.
- Performs general administrative functions including telephone and written communications
- Collects and presents data and information in a format that informs decision making.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Additional Responsibilities

From time to time the employee will be required to perform additional tasks and duties as needed or requested by the employer.

Knowledge, Skills and Abilities

- Knowledge of database applications and the ability to work well with computers and computer software, as required (e.g., Microsoft Office, Excel, Word, e-mail usage and Internet Explorer)
- Ability to respect confidentiality of consumer data
- Understanding of medical terminology
- Good communication skills
- Good organizational skills, with excellent attention to detail and accuracy
- Ability to integrate information and present it in a format easily understood
- Ability to relate professionally to consumers, staff, agency and pharmacy representatives
- Knowledge of general office equipment (e.g., computer, calculator, fax machine and copier)

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions, consistent with applicable law.

Education/Experience Requirements

Associate’s degree in a health-related field, plus 2-3 years professional work experience in a health program/field. A working knowledge of spreadsheets and data analysis is important.
-OR-
High School Diploma, plus two yearsof progressively complex administrative and clerical, data entry or related experience.
-OR-
Any equivalent combination of experience and training working in the drug and alcohol and/or mental health field.

Certificates, Licenses, Registrations

Act 33 & 34 clearances

Why DHS?

- It is innovative. Most recently, the national attention and awards we’ve gotten are for how DHS integrates data and uses them to improve the safety and well-being of children through tools that support front-line staff in making decisions (using predictive analytics).

- DHS is diverse, but we strive to be even more inclusive. Our director has made it her top priority that DHS is “the kind of place where a diverse group of talented people want to come, grow, and do their best work.” This includes equity in hiring and advancement, as well as in unleashing the creativity and ideas of staff at every level of DHS.

-  It has strong, assertive leaders. We do not hire yes-people.

 You can make a big impact here. We stand out as one of the best human services organizations in the country. But we need problem-solvers, innovators, and terrific leaders to make sure we are smart in how we use our funding so that we reach the people who most need our help to make their lives better. 

 DHS strives to be the kind of place where a diverse mix of talented people want to come to grow and do their best work.