Remote Pharmacy Coordination Specialist (PA & Formulary)

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

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.