Allegheny Health Network
Pharmacy Coordinator
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Job Description
- Req#: J273822
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 and medication management
- Engage in meaningful work that influences healthcare delivery
- Work in a fast-paced environment with a focus on efficiency and quality
What to Expect (Job Responsibilities):
- Communicate effectively with physician and pharmacy network providers to address their needs and inquiries
- Evaluate and direct daily workflow within the department regarding drug benefit design inquiries
- Review prior authorization criteria for drug products and prioritize requests
- Document all authorizations and denials accurately in accordance with state and federal regulations
- Participate in onsite member appeals and grievance sessions as a pharmacy representative
What is Required (Qualifications):
- High school diploma or GED
- Experience in pharmacy prescription claims processing/submission/payment
- Familiarity with multiple Medicaid and Medicare drug benefit design offerings and regulations
- Excellent computer skills, including knowledge of Microsoft Outlook, Word, and OnBase
- Strong organizational skills and attention to detail
How to Stand Out (Preferred Qualifications):
- Associate degree
- Pharmacy technician certification
- Experience in managed care medication formulary management
- Working knowledge of retail pharmacy and third-party prescription processing
- Strong background and understanding of medications and formulary terminology
#HealthcareServices #Pharmacy #CareerOpportunity #CompetitivePay #MedicationManagement
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