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Pharmacy Coordinator

Airetel Staffing, Inc

Pittsburgh, PA

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JOB DETAILS
SKILLS
Biotech and Pharmaceutical, Call Centers, Compensation and Benefits, Customer Support/Service, Drug Design, Employee Orientation, Formulary, Health Insurance, Health Plan, Identify Issues, Maintain Compliance, Medications, Organizational Skills, Pharmaceutical Sales, Pharmacy, Problem Solving Skills, Spanish Language
LOCATION
Pittsburgh, PA
POSTED
2 days ago
One of Airetel Staffing's valued clients is looking for a Pharmacy Coordinator located in Remote.

The Pharmacy Coordinator provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. This position responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Will interact with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures.
Required :
High School Diploma/GED Required
Must be able to read and speak Spanish
Pharmacy Experience Required
Pharmaceutical Knowledge
3-5 yrs of Customer Service Required
Proficient in Microsoft Suite
Barrier Identification & Problem Solving

Preferred:
1-3 Healthcare Insurance Experience Strongly Preferred
Pharmacy Benefits Management Understanding

Airetel Staffing, Inc. is nationally recognized as Best of Staffing - Diamond Award Winner. For more details or to view other opportunities, visit us at www.airetel.com or call 214-353-0561.

About the Company

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Airetel Staffing, Inc

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