Pharmacy Coordinator 1

Spectraforce Technologies

United States, Florida, Jacksonville

13141 City Station Drive (Show on map)

May 15, 2025

Title: Pharmacy Coordinator 1

Location: Remote

Duration: 06 Months

Job description:

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

Performs other duties as assigned

Complies with all policies and standards"

Education/Certification	Required: i.e. High school diploma or equivalent	Preferred:n/a
Licensure	Required: i.e. n/a	Preferred: Pharmacy Technician license preferred
Years of experience required	Must haves: Medicare Part-D & Prior authorization exp required Advanced Microsoft office experience preferred (Excel, Word, Teams, Outlook) Pharmacy experience, preferably in a managed care or retail environment Excellent verbal and written communication skills Nice to haves: Medicare experience preferred
Top 3 must-have hard skills	1	Pharmacy experience, preferably in a managed care or retail environment
2	Advanced Microsoft office experience preferred (Excel, Word, Teams, Outlook)
3	Excellent verbal and written communication skills

Position is offered by a no fee agency.