Pharmacy Coordinator
Company Name:
Centene
## Description
Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.
Position
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
## Qualifications
Knowledge/
Experience: High school diploma or equivalent. 3
years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.
## Job
Job: Pharmaceutical
Primary Location: USA-Washington-Tacoma
Organization: Coordinated Care
Schedule: Full-time
Req ID: 006BMEstimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.
Position
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
## Qualifications
Knowledge/
Experience: High school diploma or equivalent. 3
years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.
## Job
Job: Pharmaceutical
Primary Location: USA-Washington-Tacoma
Organization: Coordinated Care
Schedule: Full-time
Req ID: 006BMEstimated Salary: $20 to $28 per hour based on qualifications.
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