Pharmacy Coordinator

Highmark Health

Multiple Locations, US
Base: $19.39 - $24.19; bonus/equity: not specified...
Onsite
Pharmacy prescription claims processing
Managed care medication formulary management
Medicaid drug benefit design
Provides front-line staff guidance and ensures effective delivery of Pharmacy call center services

Job Summary

  • Provides front-line staff guidance and ensures effective delivery of Pharmacy call center services.
  • Responds to physician and pharmacy network provider inquiries concerning medication requests and claim edits/prior authorizations.
  • Documents all authorizations and denials accurately in accordance with state and federal regulations.

Matching Summary

Provides front-line staff guidance and ensures effective delivery of Pharmacy call center services.

Salary

Base: $19.39 - $24.19; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Pharmacy prescription claims processing
  • Managed care medication formulary management
  • Medicaid drug benefit design
  • Medicare drug benefit design
  • HIPAA compliance

Nice-to-have

  • Excellent interpersonal and listening skills
  • Fast-paced, multi-task environment
  • Attention to detail
  • Problem-solving abilities

Key Requirements

  • High school diploma or GED
  • Pharmacy technician certification
  • Associate degree preferred
  • Experience in pharmacy claims processing
  • Familiarity with multiple state Medicaid rules
  • Familiarity with Medicare drug benefit design

Work Rights

Not specified

Tailored Resume

Cover Letter