Highmark Inc.
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
- 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 in a fast-paced environment
What to Expect (Job Responsibilities):
- Communicate effectively with physician and pharmacy network providers to address inquiries and requests
- Review and evaluate drug authorization requests, ensuring compliance with state and federal regulations
- Document all authorizations and denials accurately within the required timelines
- Collaborate with clinical pharmacists for guidance on medication-related issues
- Participate in onsite member appeals and grievances sessions as a pharmacy representative
What is Required (Qualifications):
- High school diploma or GED
- Experience in pharmacy prescription claims processing, submission, or payment
- Strong organizational skills and attention to detail
- Excellent computer skills, including proficiency in Microsoft Outlook and Word
- Exceptional interpersonal and communication skills
How to Stand Out (Preferred Qualifications):
- Associate degree in a related field
- Pharmacy technician certification
- Experience in managed care medication formulary management
- Knowledge of retail pharmacy and third-party prescription processing
- Familiarity with Medicaid and Medicare drug benefit design offerings and regulations
#HealthcareServices #Pharmacy #CareerOpportunity #CompetitivePay #TrainingProvided
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
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.