Allegheny Health Network
Pharmacy Coordinator
5 days agoWhat's your preference?
Job Description
- Req#: J273822
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $23.72 per hour
- 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
- Comprehensive training provided to enhance skills and knowledge
- Adherence to ethical and legal standards in a regulated industry
What to Expect (Job Responsibilities):
- Communicate effectively with physician and pharmacy network providers to address their needs in a timely manner
- Review and evaluate drug authorization requests and manage daily workflow within the department
- Ensure compliance with call center turnaround time requirements related to state and federal regulations
- Document all authorizations and denials accurately in accordance with established timelines
- 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
- Strong background and understanding of medications and formulary terminology
- Familiarity with Medicaid and Medicare drug benefit design offerings and applicable regulations
- Excellent computer skills, including proficiency in Microsoft Outlook and Word
How to Stand Out (Preferred Qualifications):
- Associate degree in a relevant field
- Pharmacy technician certification
- Experience in a managed care medication formulary management environment
- Knowledge of retail pharmacy and/or third-party prescription processing
- Strong interpersonal and communication skills
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