Job Title: Pharmacy Coordinator 1 - 210120 Address: Various, CA, 99999 Job Description 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 and audit for prior authorizations. Analyze cost and utilization patterns to support pharmacy program development. Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team. Assist Provider Relations and departments with educating providers on pharmacy processes. Assist with pharmacy utilization review and reporting processes. Critical Information Remote work; full-time hours. Compliance with all policies and standards. Environment involves call center and fast-paced pharmacy support activities. Education/Licenses Needed High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Current state's Pharmacy Technician license preferred. Pharmacy Technician Certification Board (PTCB) or the ability to obtain within 30 days of start date. Benefits: Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required.
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