Pharmacy Benefits Coordinator

Job Details

Requisition #: 675211

Location:

Johns Hopkins Health Plans, Hanover, MD 21076

Category:
Pharmacy

Schedule:

Day Shift

Employment Type:

Full Time

The Pharmacy Benefits Coordinator supports the coordination of pharmacy benefit programs to facilitate member access to medications. They provide frontline assistance to members, providers, pharmacists, and internal staff regarding pharmacy benefit inquiries, formulary coverage, and prior authorization processes. The incumbent performs routine processing, documentation, and follow-up of prior authorization requests in accordance with members' benefit plans and established policies.

The Pharmacy Benefits Coordinator assists with researching and resolving basic pharmacy benefit and claims issues, escalating complex cases as appropriate. The incumbent communicates pharmacy benefit information, coverage guidelines, and formulary alternatives under supervision while ensuring compliance with health plan policies, payer requirements, and regulatory standards.

High School Diploma/GED or equivalent (Required)

Less Than 2 Years of Experience in pharmacy benefits coordination

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.