Assistant Manager, Healthcare Third Party Audits

Why choose us?

Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go hand-in-hand!

At Albertsons Companies, we are looking for someone who’s not just seeking a job, but someone who wants to make an impact. In this role, you’ll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that’s constantly evolving.

Main responsibilities:

The position will be based out of the following location(s): Boise, ID or Itasca, IL. This role is a hybrid working role with the expectation of 4 days of in-office work and 1 day of remote work. This is subject to change due to management expectations.

• Point person with Managed Care teams and outside departments on reports, edits, training, and various other tasks
• Manage relationship and communications with vendors
• Ensure all pharmacies can process through switch vendor and escalate necessary outages
• Review work of direct reports to ensure accuracy and provide feedback
• Responsible for reviewing department processes to ensure maximum efficiency in all required tasks
• Provide reports and updates to Management regarding staff’s individual and team performance
• Proactively identify potential editing opportunities to maximize margin/minimize loss via vendor processing system reporting
• Identify potential vendor processing system enhancements to assist with reporting capabilities
• Confirm reimbursement based on contracted rates and follow up with PBM/Plan contacts when noncompliance is identified
• Review and identify legal and audit risks that may occur based on vendor system reporting available
• Communicate effectively, including very detailed follow-up, with all areas of the business, vendors, and PBM/Plan contacts
Identify, create, and manage editing to ensure pharmacy compliance with PBM requirements to prevent future audit recoupments

• 
  

We are looking for candidates who possess the following:

What we are searching for

• Advanced computer skills – Microsoft Office (Excel, Access, Outlook etc.)
• Ability to work in a team environment and adapt easily to constant change
• Math skills at a proficient level
• Strong communication skills, both written and verbal
• Ability to manage time efficiently and stay organized
• Ability to follow verbal or written instruction
• Strong decision-making abilities
• Detail oriented

• Knowledge of third party processing and NCPDP industry standards preferred
  

We believe the successful candidate has these qualifications and experience

• H.S. Diploma
• Pharmacy Technician Required
• Third Party/Managed Care experience preferred
Management or Training experience preferred

• 
  

Physical Requirements

• Most work is performed in a temperature-controlled office environment
• Incumbent may sit for long periods of time at desk or computer terminal
Incumbent may use calculators, keyboards, telephone, and other office equipment during normal workday

• 
  

We also provide a variety of benefits including:

• Competitive wages paid weekly
• Access to up to 50% of your earned wages before payday, via our partnership with Stream
• Associate discounts
• Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)
• Time off (vacation, holidays, sick pay). For eligibility requirements please visit myACI Benefits
• Leaders invested in your training, career growth and development
• An inclusive work environment with talented colleagues who reflect the communities we serve
  
  

Our Values – Click below to view video: ACI Values

#LI-RC4

A copy of the full job description can be made available to you.