Pharmacy Coordinator 1

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

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

Key Responsibilities:
* 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

Qualification & Experience:
* 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.

Candidate Requirements Education/Certification Required: high school diploma Preferred: Licensure 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.

• Top 3 must-have hard skills stack-ranked by importance

1 Pharmacy Technician experience (open to PBM, retail, or other various experience) 2 Microsoft Office Experience - Excel, Word, Outlook, Visio 3 Ability to work independent and keep good communication with about their project/assignment updates.