Mindlance
Clinical - Pharmacy Coordinator 1 - 210120
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Job Description
- Req#: 25-74629
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work in a dynamic environment with a focus on managed care pharmacy programs
- Supportive and collaborative work environment
- Chance to make a positive impact on member and provider experiences
- Diverse responsibilities, including direct interaction with healthcare providers and analysis of pharmacy utilization
What to Expect (Job Responsibilities):
- Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
- Review pharmacy and override processes in compliance with pharmaceutical-related company and state guidelines
- Track and trend overrides to ensure criteria have been met, auditing for prior authorizations and analyzing cost and utilization patterns
- Resolve complaints and grievances related to the pharmacy network in collaboration with the Pharmacy team
- Assist with the pharmacy utilization review and reporting process
What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of 3 years of pharmacy experience, preferably in a managed care environment
- Current state’s Pharmacy Technician license and Pharmacy Technician Certification Board (PTCB) or the ability to obtain both within 30 days of the start date
- Medicare and/or Medicaid experience preferred
- Prior experience in a call center or fast-paced pharmacy is preferred
How to Stand Out (Preferred Qualifications):
- Experience using analysis tools or systems (e.g., web-based, custom, proprietary)
- Experience in implementing quality process improvement efforts
- Experience documenting requirements and creating training materials
- Ability to work directly with end users
#HealthcareServices #Pharmacy #ManagedCare #CareerOpportunity #QualityImprovement
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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."About the company
Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.
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