Pharmacist
virtual
· Difficulty 3/5
Recruiter screen, technical interview on PBM + Medicare Part D, behavioral, and final.
- Walk me through managing a complex specialty case.
- Tell me about handling a prior-authorization review.
- Describe partnering with prescribers on a therapy change.
- How do you balance member access with formulary management?
Care Manager (RN)
virtual
· Difficulty 3/5
Recruiter screen, hiring manager interview, clinical scenarios, behavioral, and final.
- Walk me through managing a complex member case.
- Tell me about coordinating care for a difficult population.
- Describe partnering with PCPs on a member care plan.
- How do you balance member outcomes with cost considerations?
Actuary
onsite
· Difficulty 4/5
Recruiter screen, technical interview, behavioral, and final.
- Walk me through a Medicare-Advantage pricing analysis.
- Tell me about handling a CMS audit.
- Describe partnering with product on a bid strategy.
- How do you stay current on Medicare actuarial standards?