Pharmacy Coordinator 1

Spectraforce Technologies, Inc.; Raleigh (NC); Remote; USD 42,000 - 62,000; Full time

Job summary

Spectraforce Technologies is seeking a Pharmacy Coordinator 1 for a remote, nationally sourced assignment. The 6‑month engagement runs Monday‑Friday, 8:00 AM–4:30 PM with flexibility on start/end times.

You will support the health plan's pharmacy program, including prior authorization and formulary activities. Responsibilities include reviewing overrides, tracking utilization, educating providers, and supporting quality improvement efforts.

Qualifications

• 3+ years of pharmacy experience, preferably in a managed care environment.
• Medicare and/or Medicaid experience preferred.
• Current state's Pharmacy Technician license preferred.

Responsibilities

• Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process.
• Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines.
• Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns.
• Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team.
• Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process.
• Assist with the pharmacy utilization review and reporting process.
• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes.
• Assist with members' inquiries related to the formulary process.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Pharmacy Technician experience

Microsoft Office

Independent work / communication

Education

High school diploma

Tools

Microsoft Office

Job description

Position Title: Pharmacy Coordinator 1
Work Location: Remote - Nationally sourced
Assignment Duration: 6 months
Work Schedule: Monday - Friday (8 AM to 4:30 PM). No overtime and we can be flexible on the start/end time.
Work Arrangement: Remote

Position Summary

• Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.

Key Responsibilities

• Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
• Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines
• Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns
• Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team
• Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process
• Assist with the pharmacy utilization review and reporting process
• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
• Assist with members' inquiries related to the formulary process
• Performs other duties as assigned
• Complies with all policies and standards

Qualification & Experience

• High school diploma or equivalent.
• 3+ years of pharmacy experience, preferably in a managed care environment.
• Medicare and/or Medicaid experience preferred.
• Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.).
• Experience in the implementation of quality process improvement efforts.
• Experience documenting requirements, creating training materials and working directly with end users.
• License/Certificate: Current state's Pharmacy Technician license preferred.

Candidate Requirements

Education/Certification

Required: high school diploma

Preferred Licensure

Preferred: prefer a Pharmacy Technician License but not required.

Years of experience required

3+ years of Pharmacy Technician experience (open to PBM, retail, or other various experience)

Additional qualities to look for

Ability to multitask or properly prioritize work, Experience with projects or assignments that require attention to details.

Top 3 must-have hard skills stack-ranked by importance

• 1Pharmacy Technician experience (open to PBM, retail, or other various experience)
• 2Microsoft Office Experience - Excel, Word, Outlook, Visio
• 3Ability to work independent and keep good communication with about their project/assignment updates.