Pharmacy Coordinator (Pharmacy Technician)

Company: Carolina Complete Health
Location: Cramerton
Posted on: April 10, 2021

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