Pharmacy Coordinator (Pharmacy Technician)
Company: Carolina Complete Health
Location: Cramerton
Posted on: April 10, 2021
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Job Description:
Position Purpose:Perform duties to support the efforts pharmacy
department in the development, coordination and maintenance of the
health plans pharmacy program.* 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 plans 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* Prepare medication review charts for
pharmacist review* Assist in administrative duties of department*
Assist in member and provider outreach for verification,
appointment setup, and other duties within the pharmacy technician
scope* Perform other tasks as required/neededFor North
Carolina/Carolina Complete Heath:Education/Experience: High school
diploma or equivalent. 3+ years of pharmacy experience, preferably
in a managed care environment. Medicare and/or Medicaid experience
preferred.License/Certificate: Current StatePharmacy Technician
license.Centene is an equal opportunity employer that is committed
to diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.by Jobble
Keywords: Carolina Complete Health, Gastonia , Pharmacy Coordinator (Pharmacy Technician), Healthcare , Cramerton, North Carolina
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