Pharmacy Coordinator

Highmark Health; Louisiana (MO); On-site; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization in Louisiana seeks a pharmacy specialist to oversee call center operations and handle medication-related inquiries. Candidates should possess a high school diploma and relevant pharmacy experience. Strong communication skills and attention to detail are essential. The role offers competitive salary and opportunities for professional growth.

Benefits

Salary up to $23.72

Opportunities for career advancement

Supportive work environment

Comprehensive training

Qualifications

• High school diploma or GED required.
• Experience in pharmacy prescription claims processing/submission/payment.
• Strong organizational and communication skills needed.

Responsibilities

• Guide front-line staff for effective pharmacy operations.
• Respond to physicians and pharmacy inquiries.
• Review member claims to assess necessity for medication requests.

Skills

Organizational skills

Interpersonal skills

Communication skills

Attention to detail

Education

High school diploma or GED

Associate degree

Tools

Pharmacy management software

Job description

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 to enhance skills in pharmacy management
• No travel required, allowing for a stable work-life balance

Job Responsibilities

• Provide effective guidance to front-line staff to ensure efficient pharmacy call center operations
• Respond to inquiries from physicians and pharmacy network providers regarding medication requests and drug claims
• Review member claims history to assess medical necessity for non-formulary and prior authorization medication requests
• Document all authorizations and denials in compliance with state and federal regulations
• Collaborate with clinical pharmacists and technical staff to resolve issues and improve processes

Qualifications

• High school diploma or GED
• Experience in pharmacy prescription claims processing/submission/payment
• Strong organizational skills and attention to detail
• Excellent interpersonal and communication skills
• Ability to work in a fast-paced, multi-task environment

Preferred Qualifications

• Associate degree
• 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

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