Pharmacy Coordinator

Employment Information

Employer Industry: Healthcare Services

• Salary up to $23.72
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care and medication management
• No travel required, allowing for a stable work‑life balance

• Provide guidance to front‑line staff to ensure effective delivery of pharmacy call center services
• Respond to physician and pharmacy provider inquiries and evaluate drug authorization requests
• Monitor adherence to state and federal drug benefit regulations
• Document all authorizations and denials accurately and in accordance with timelines
• Participate as a pharmacy representative in onsite member appeals and grievances sessions

• High school diploma or GED
• Experience in pharmacy prescription claims processing, submission, or payment
• Familiarity with multiple Medicaid drug benefit design offerings and rules/regulations
• Strong understanding of medications and formulary terminology
• Excellent computer skills, including Microsoft Outlook and Word

• Associate degree
• Pharmacy technician certification
• Experience working in a managed care medication formulary management environment
• Working knowledge of retail pharmacy and/or third‑party prescription processing
• Demonstrated ability to work in a fast‑paced, multi‑task environment

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.