Pharmacy Benefits Associate - Entry Level

Johns Hopkins Medicine; Northern (KY); Hybrid; USD 23,000 - 37,000; Full time

Job summary

Johns Hopkins Medicine is seeking a Pharmacy Benefits Coordinator to support coordination of pharmacy benefit programs and help members access medications. The role provides frontline assistance to members, providers, pharmacists, and internal staff on benefit inquiries, formulary coverage, and prior authorization processes.

Responsibilities include routine processing, documentation, and follow-up of prior authorizations in accordance with benefit plans and policies, with escalation for complex

Qualifications

• High School Diploma/GED or equivalent is required.
• Less than 2 years of experience in pharmacy benefits coordination is expected.

Responsibilities

• Coordinate pharmacy benefit programs to facilitate member access to medications.
• Provide frontline assistance to members, providers, pharmacists, and internal staff regarding inquiries, formulary coverage, and prior authorization processes.
• Process, document, and follow up on prior authorization requests in line with benefit plans and policies.
• Escalate complex cases and ensure compliance with health plan policies and regulatory standards.

Education

High School Diploma/GED or equivalent

Job description

Johns Hopkins Medicine is seeking a Pharmacy Benefits Coordinator to support coordination of pharmacy benefit programs and help members access medications. The role provides frontline assistance to members, providers, pharmacists, and internal staff on benefit inquiries, formulary coverage, and prior authorization processes.

Responsibilities include routine processing, documentation, and follow-up of prior authorizations in accordance with benefit plans and policies, with escalation for complex