Clinical - Pharmacy Coordinator

Position Title:

Pharmacy Coordinator 1

Work Location:

Remote
- Nationally sourced

Assignment Duration: 6 months

Work Schedule:

Monday
- Friday (8 AM to 4:30 PM). No overtime and we can be flexible on the start/end time.

Work Arrangement:
Remote

• Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.

• Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
• Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines
• Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns
• Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team
• Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process
• Assist with the pharmacy utilization review and reporting process
• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
• Assist with members' inquiries related to the formulary process
• Performs other duties as assigned
• Complies with all policies and standards

• High school diploma or equivalent.
• 3+ years of pharmacy experience, preferably in a managed care environment.
• Medicare and/or Medicaid experience preferred.
• Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.).
• Experience in the implementation of quality process improvement efforts.
• Experience documenting requirements, creating training materials and working directly with end users.
• License/Certificate:
  Current state's Pharmacy Technician license preferred.

Required:

high school diploma

Preferred:

Required:

Preferred: prefer a Pharmacy Technician License but not required.

Years of experience required: 3+ years of Pharmacy Technician experience (open to PBM, retail, or other various experience)

Disqualifiers:

Additional qualities to look for:
Ability to multitask or properly prioritize work, Experience with projects or assignments that require attention to details.