Highmark Health
Pharmacy Coordinator
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Job Description
- Req#: J271139
Employer Industry: Healthcare Services
Why consider this job opportunity:
- 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 through effective pharmacy services
- Comprehensive training provided to enhance skills and knowledge in pharmacy management
What to Expect (Job Responsibilities):
- Communicate effectively with physician and pharmacy network providers to address their needs in a courteous and timely manner
- Review prior authorization criteria for drug products and prioritize requests for drug authorizations or denials
- Document all authorizations and denials accurately and according to state and federal regulations
- Consult with clinical pharmacists for guidance and assistance as needed
- Participate as a pharmacy representative in onsite member appeals and grievances sessions
What is Required (Qualifications):
- 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 across multiple states
- Strong organizational skills and attention to detail
- Excellent communication and interpersonal skills
How to Stand Out (Preferred Qualifications):
- 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
- Strong background and understanding of medications and formulary terminology
#HealthcareServices #Pharmacy #CareerOpportunity #CompetitivePay #TrainingProvided
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