PBM Regulatory Reporting Coordinator

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Regulatory Reporting Analyst is responsible for working closely with each of the Pharmastar teams to assist with Pharmastar’s adherence to both internal and regulatory procedures, ensure proper documentation, provide reporting activities, and disseminate applicable information to clients. The Regulatory Reporting Analyst will work under the supervision of the Sr Director of Data Strategy. This position also assists with various internal tasks that ensure a high level of overall client satisfaction. On the job training will be provided. Pharmastar (a AnewHealthRx company) is a Pharmacy Benefits Manager (PBM) for commercial plans, Medicare Part D Plans and PACE Plans. Responsibilities Assist with compiling Quarterly Pharmastar Compliance reports. Assist with preparation and analysis of PDE, PDE Rejections, FIR reports, and plan rebate reports. Assist with PACE Bid preparation, including working with external auditors Assist with weekly Financial Billing, plan admin fees, pharmacy network payment review reporting and activities Handle Action Required reporting, associated member authorizations and related activity Create NDPDP Pharmacy Encounter data file preparation, testing and submission, and error review. Assist with QA of existing reports and adjudication results. Review report output for issues for proactive recom