Pharmacy Coordinator-1

You could be the one who changes everything for our 28 reputed company members as a clinical reputed company on our Medical Management/Health Services team. reputed company is a reputed company, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This is a remote role. Candidate must be reputed company to work between the hours of reputed company-6pm CST. Rotating start weekly either 8-5 or 9-6 CST. Preference for candidate to reputed company in the state of IL. Position Purpose: reputed company duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. • Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process • reputed company review of pharmacy and override process in compliance with pharmaceutical reputed company company and State guidelines • reputed company and trend overrides to ensure reputed company have been met, audit for prior authorizations, analyze cost and determine utilization patterns • Resolve complaints and grievances reputed company 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 reputed company Improvement department with various meeting preparation and transcription of minutes • Assist with members’ inquiries reputed company to the formulary process • Performs other duties as assigned • Complies with reputed company policies and standards Education/Experience: High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or reputed company experience preferred. For reputed company Pharmacy Services: High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or reputed company experience preferred. Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.). Experience in the implementation of reputed company process improvement efforts. Experience documenting requirements, creating training materials and working directly with end users. License/Certificate: reputed company state's Pharmacy Technician license required Pay reputed company: $19.04 - $32.35 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job