Remote Specialty Pharmacy Coordinator

Jobgether; Oregon; Hybrid; USD 50,000 - 55,000; Full time

Benefits offered by this job

Health Insurance

Dental and Vision Coverage

Life and Disability Insurance

Paid Time Off

Tuition Reimbursement

Employee Assistance Program (EAP)

Technology Stipend

Remote Flexibility

Job summary

Jobgether is seeking a Specialty Rx Coordinator to support administration of specialty pharmacy and medical benefits in a fully remote environment in the United States.

You will coordinate prior authorizations, manage appeals, and resolve medication-related issues while liaising with pharmacies, prescribers, members, and vendors to ensure accurate documentation and timely communication.

Qualifications

• Bachelor's degree or equivalent professional work experience.
• Five years of professional experience with pharmacy and medical benefits, including specialty meds and J-codes.
• Experience managing pharmacy or medical prior authorization requests.

Responsibilities

• Collect and review records for prior authorization requests.
• Coordinate requests and decisions between pharmacies, providers, and members.
• Manage single case agreements and pricing, update member records.
• Assist members with financial concerns and escalate as needed.
• Submit referrals to third-party vendors and coordinate program implementation.
• Ensure compliance with regulations and vendor contracts across revenue cycles.
• Collaborate with customer service, plan administration, and internal teams on policies.
• Resolve vendor-related questions and provide status updates to client teams.
• Suggest process improvements to enhance member experience and service delivery.
• Perform other duties to support medical management and specialty pharmacy operations.

Skills

Prior Authorization

Pharmacy Benefits

Documentation & Compliance

Communication

Analytical Thinking

Education

Bachelor's degree

Job description

Jobgether is seeking a Specialty Rx Coordinator to support administration of specialty pharmacy and medical benefits in a fully remote environment in the United States.

You will coordinate prior authorizations, manage appeals, and resolve medication-related issues while liaising with pharmacies, prescribers, members, and vendors to ensure accurate documentation and timely communication.