New
Pharmacy Coordinator 1
Spectraforce Technologies | ||||||||||||||||
United States, North Carolina, Raleigh | ||||||||||||||||
500 West Peace Street (Show on map) | ||||||||||||||||
Oct 30, 2026 | ||||||||||||||||
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Position Title:Pharmacy Coordinator 1
Work Location: Remote (Nationally sourced) Schedule: Monday - Friday (8 AM to 4:30 PM). No overtime Assignment Duration: 6 months ( Possibility of extension & conversion) Position Summary: * Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.Key Responsibilities: * 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 * Performs other duties as assigned * Complies with all policies and standards
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Oct 30, 2026