Direct Hire- Pharmacy Coordinator Job- Philadelphia, PA

  • Job Location:

    Philadelphia, PA

  • Category:

    Pharmacy - Clinical Pharmacist


Direct Hire position available for a pharmacy coordinator looking to excel in there career. I am currently reviewing resumes for interested candidates immediately.
 
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, 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 plan’s 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
 
Qualifications:
Education/Experience: High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred
 
Please send all resumes to Olivia.mahler@soliant.com or call 281.668.0665
Olivia Mahler
Operational Specialist
Soliant Health
Local: (281) 668-0665
Toll Free: (877) 340-0521
Fax: (281) 679-6035
Olivia.Mahler@soliant.com
www.soliant.com
 
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