Pharmacy Coordinator 1

Spectraforce Technologies; Orlando, Jacksonville (FL, FL); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading company is seeking a Pharmacy Coordinator to ensure compliance with pharmacy processes, track overrides, and assist with provider education. The role requires strong communication skills and pharmacy experience, preferably in managed care. Join a dynamic team focused on improving pharmacy utilization.

Qualifications

• Required: High school diploma or equivalent.
• Preferred: Pharmacy Technician license.

Responsibilities

• Review pharmacy and override process compliance.
• Track overrides and analyze costs.
• Resolve complaints related to the pharmacy network.

Skills

Medicare Part-D

Communication

Pharmacy experience

Microsoft Office

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Title: Pharmacy Coordinator 1

Location: Remote

Duration: 06 Months

Job description:

1. Perform review of pharmacy and override process in compliance with pharmaceutical-related company and State guidelines.
2. Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze costs, and determine utilization patterns.
3. Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team.
4. Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process.
5. Assist with pharmacy utilization review and reporting processes.
6. Collaborate with the Quality Improvement department on various meeting preparations and transcription of minutes.
7. Assist members with inquiries related to the formulary process.
8. Perform other duties as assigned.
9. Comply with all policies and standards.

Education/Certification

• Required: High school diploma or equivalent.
• Preferred: N/A.

Licensure

• Required: N/A.
• Preferred: Pharmacy Technician license.

Experience & Skills

• Must haves:
  • Medicare Part-D & Prior authorization experience.
  • Advanced Microsoft Office skills (Excel, Word, Teams, Outlook).
  • Pharmacy experience, preferably in a managed care or retail environment.
  • Excellent verbal and written communication skills.
• Nice to haves:
  • Medicare experience.

Top 3 Hard Skills:

1. Pharmacy experience, preferably in a managed care or retail environment.
2. Advanced Microsoft Office skills (Excel, Word, Teams, Outlook).
3. Excellent verbal and written communication skills.

Position is offered by a no-fee agency.