Pharmacy Coordinator

eTeam Inc

Pharmacy Coordinator

The Pharmacy Coordinator provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. This position responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Will interact with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures.

Required Qualifications

High School Diploma/GED
3-5 years of Customer Service experience
Pharmacy Experience
Pharmaceutical Knowledge
Pharmacy Benefits Management Understanding
Barrier Identification & Problem Solving
Proficient in Microsoft Suite

Preferred Qualifications

1-3 Healthcare Insurance Experience Strongly Preferred
Bilingual Spanish speaker

Additional Details

Contract only but there could be a possibility of full-time hire if a position becomes available
Must complete the Pharmacy Coordinator Assessment

eTeam

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Pharmacy Coordinator in Pittsburgh, PA vacancy

Engagement Coordinator- McCandless store
$14.25 - $14.75 per hour
...cash controls including change fund \n Adheres to all labor laws and meal and break period policies \n Assigns registers and coordinates breaks to ensure optimized coverage at frontline and sales floor \n Audits and approves paperwork \n Maintains cleanliness,...
Suggested
Hourly pay
Temporary work
Local area
Home office
Flexible hours
Afternoon shift
TJX Companies
Pittsburgh, PA
7 days ago
Pharmacy Technician Coordinator - Medication History Collection - Jefferson Hospital
...Pharmacy TechnicianAllegheny Health NetworkThis position is eligible for a $5,000 sign on bonus for a 1-year commitmentProvides assistance to management in coordinating Pharmacy Technician activities, including education, training, competencies, patient medication histories...
Suggested
Traineeship
Work at office
Local area
Relocation package
Highmark Health
Clairton, PA
2 days ago
Full Time Merchandise Coordinator - HomeGoods Fox Chapel
$14.25 - $14.75 per hour
...merchandising and processing principles \n Ensures merchandise is properly tagged, hung, secured, and coded \n Communicates with the Coordinator on Duty to ensure efficient flow of goods to sales floor \n Ensures Associates complete tasks and activities according to...
Suggested
Hourly pay
Full time
Temporary work
Local area
Home office
Flexible hours
Night shift
TJX Companies
Pittsburgh, PA
4 days ago
Supervisor, Pharmacy Technicians
...designated UPMC Passavant is currently hiring a Full-Time Supervisor, Pharmacy Technicians at the McCandless location.Shift Details:Mostly... ...through the supervision of pharmacy personnel.Work to coordinate daily activities of the pharmacists and pharmacy technicians.Assist...
Suggested
Full time
Currently hiring
Local area
Shift work
Weekend work
Weekday work
UPMC
Pittsburgh, PA
1 day ago
catering coordinator
$25 per hour
...catering coordinator at black radish kitchen black radish kitchen is a pittsburgh-based catering and hospitality brand focused on good food and event planning. our team prioritizes seasonal ingredients and friendly service for everything from small dinner parties to...
Suggested
Hourly pay
Part time
Work at office
Weekday work
Black Radish Kitchen - PGH
Pittsburgh, PA
3 days ago
HSE Coordinator - Micon Group, Inc.
$5,000 per month
...in positive, respectful, and responsible ways. Our work improves lives. Find out how a career as a Health Safety & Environmental Coordinator can change yours. As a Health Safety & Environmental Coordinator, your key responsibilities under guidance of supervisor, will be...
Temporary work
For contractors
Flexible hours
Michels Corporation
Pittsburgh, PA
1 day ago
MDS Coordinator
...Now Hiring: MDS Coordinator About Us: We are a respected nursing home dedicated to providing exceptional care to our residents in Philadelphia. We are committed to upholding the highest standards of quality and creating a supportive environment for our team members....
Immediate start
Epic Healthcare & Physical Medicine
Pittsburgh, PA
1 day ago
Coordinator for Leadership Development
...to logistical aspects of events/programs and partnering with colleagues throughout the organization. What you’ll do: As a Coordinator for the Leadership Development team, you will support grant-funded initiatives that advance the development of leaders within theological...
Full time
Live in
Work from home
Flexible hours
The Association of Theological Schools
Pittsburgh, PA
11 minutes ago
Tissue Recovery Coordinator
...POSITION SUMMARY The Tissue Recovery Coordinator plays a vital, hands-on role in advancing CORE's life-saving mission by supporting organ, tissue, and cornea donation. This position offers meaningful, purpose-driven work in a dynamic clinical environment and is ideal...
Local area
Shift work
CENTER FOR ORGAN RECOVERY AND EDUCA
Pittsburgh, PA
1 day ago
Coordinator, Commuter Affairs & Upperclass Communities - Residence Life
Coordinator, Commuter Affairs & Upperclass Communities - Residence LifeSalary: Commensurate with experience Benefits: The University offers generous benefits including paid time off (holidays, holy days and vacation), employer matching contributions to the retirement plan...
Full time
Work at office
Weekend work
Afternoon shift
Duquesne University
Pittsburgh, PA
1 day ago
Resident Coordinator
...POSITION: Resident Coordinator COMPENSATION: Non-Exempt / Hourly SUMMARY The Resident Coordinator will reward your people skills, sales experience, high energy, positive attitude and excellent performance with great earnings possibilities and outstanding...
Hourly pay
Weekend work
Afternoon shift
Cardinal Group Management
Pittsburgh, PA
1 day ago
Equipment Coordinator
...Keep the OR Moving as an Equipment Coordinator! Every successful surgical day depends on having the right equipment, instruments, and supplies ready at the right time. As an Equipment Coordinator , you'll be an important part of making that happen! Working...
Monday to Friday
UPMC Altoona
Pittsburgh, PA
1 day ago
Intake Coordinator
...contributes to recycling goods that literally recycle and repair broken lives. The Adult Rehabilitation Center is seeking an Intake Coordinator to work cooperatively with Program staff to maintain a quality intake system. Duties: Be a part of a team that provides a...
Full time
Work at office
Immediate start
Afternoon shift
Salvation Army
Pittsburgh, PA
1 day ago
Shipping/Receiving Coordinator
...Inventory Coordinator Standard Air has grown through the past 70 years by serving the commercial and residential HVAC contractors with quality pre-sale application and post-sales support and a large inventory of equipment and parts. Our employees are committed to continuing...
For contractors
Work at office
Koch Air LLC
Pittsburgh, PA
3 days ago
Conflicts and Intake Coordinator
...Conflicts And Intake Coordinator - Hybrid This critical role is responsible for ensuring the firm's compliance with conflict of interest rules and managing the client intake process. The ideal candidate will have a strong understanding of legal ethics, excellent research...
Liberty Personnel Services, Inc.
Pittsburgh, PA
3 days ago
Guest Coordinator
Ulta Beauty - - Responsibilities: Provide exceptional guest service in salon and sales areas; Book appointments and manage scheduling; Promote services and events to guests; Build guest relationships and provide product recommendations; Support services team with calls...
Ulta Beauty
Pittsburgh, PA
3 days ago
Scheduling Coordinator
...University of Pittsburgh Physicians is hiring a Full-Time Scheduling Coordinator to help support the Department of Neurosurgery. Hours: 7:30 am to 4:00 pm, or 8:00 am to 4:30 pm Location: 200 Lothrop St, 15213. After 6 months there is opportunity for one day...
Full time
Work at office
Work from home
UPMC Altoona
Pittsburgh, PA
3 days ago
Backroom Coordinator
$14.25 - $14.75 per hour
...on merchandising and processing principles Ensures merchandise is properly tagged, hung, secured, and coded Communicates with the Coordinator on Duty to ensure efficient flow of goods to sales floor Ensures Associates complete tasks and activities according to store plan...
Hourly pay
Temporary work
Local area
Home office
Flexible hours
Night shift
Sierra
Pittsburgh, PA
2 days ago
Shoe Coordinator
Shoe CoordinatorRainbow USA is recognized as one of the fastest growing junior, kids, plus, and petite, specialty apparel retail chains and has grown to over 1,000 retail stores! We have multiple retail lines that pride themselves on their impeccable customer service, ...
Rainbow Shops
Pittsburgh, PA
5 days ago
Equipment Coordinator
...tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } UPMC Mercy is hiring a Full-Time Equipment Coordinator for our Operating Room! Join a fast-paced surgical environment where your organization and attention to detail can make a meaningful...
Full time
Monday to Friday
UPMC
Pittsburgh, PA
1 day ago
Travel Coordinator
...Travel Coordinator Provides operational, technical, and training support across the Travel Business Line, including Travel Training, Help Desk, Reservation Center, Group Travel, and Headquarters Travel staff. Partners with leadership to analyze workflows, identify...
AAA
Pittsburgh, PA
5 days ago
Student Engagement Coordinator
...Student Engagement Coordinator Pitt Serves - Pennsylvania-Pittsburgh - (26005974) The Office of PittServes within the Division of Student Affairs at the University of Pittsburgh serves as a catalyst for students and communities to engage in action that creates impactful...
Work at office
Weekend work
Afternoon shift
University of Pittsburgh
Pittsburgh, PA
1 day ago
Retail Engagement Coordinator
$14.25 - $14.75 per hour
...monitors cash controls including change fund Adheres to all labor laws and meal and break period policies Assigns registers and coordinates breaks to ensure optimized coverage at frontline and sales floor Audits and approves paperwork Maintains cleanliness,...
Hourly pay
Temporary work
Local area
Home office
Flexible hours
Afternoon shift
The TJX Companies , Inc.
Pittsburgh, PA
1 day ago
Scheduling Coordinator
...Scheduling Coordinator Pittsburgh, Pennsylvania Client Coordinator Location: Pittsburgh, PA Hourly Rate: $22 per hour + $2,000 Annual Bonus Potential Make a Meaningful Impact Every Day Maxim Healthcare is seeking a proactive and organized Client Coordinator...
Hourly pay
Weekly pay
Contract work
Temporary work
Work at office
Local area
Flexible hours
Maxim Health Systems
Pittsburgh, PA
2 days ago
BIM Coordinator
...solve the world’s most complex challenges and deliver more impact together. Role description: Arcadis APM is seeking a BIM Coordinator / VDC Engineer to support a large-scale advanced technology tool install construction project for our client in Boise, Idaho....
Full time
Part time
For contractors
Work at office
Relocation
Relocation package
ARCADIS
Pittsburgh, PA
4 days ago
RN Clinical Triage, Transfer and Throughput Coordinator- AHN
...collaboration with diverse clinical teams to maintain patient safety and optimal care delivery . ESSENTIAL RESPONSIBILITIES Coordinate all aspects of patient care for adult and pediatric transfers, working collaboratively with the interdisciplinary Transfer Center...
For contractors
Local area
Relocation package
Highmark Health
Pittsburgh, PA
1 day ago
Regional Coordinator
...Regional Coordinator At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where...
Full time
Temporary work
Part time
Work experience placement
Work at office
PNC
Pittsburgh, PA
3 days ago
Client Coordinator
...purpose. And your potential has no ceiling. We would love for you to explore what is possible at HUB International. Client Coordinator We currently have an opportunity for a Client Coordinator to join our Employee Benefits team in our Pittsburgh, PA office on a...
Internship
Local area
Flexible hours
Squaremouth
Pittsburgh, PA
3 days ago
Fitness & Wellness Coordinator - Senior Living Facility
$18 - $25 per hour
...Job Description Job Description Description: Inspire Healthy Living – Join Baptist Senior Family as Our Next Fitness/Wellness Coordinator! Are you passionate about helping others stay active, engaged, and confident at every stage of life? At Baptist Senior...
Hourly pay
Part time
Local area
Baptist Home Society
Pittsburgh, PA
13 days ago
Campus Coordinator
$21 per hour
...Center is seeking motivated, compassionate people who have a calling and passion for helping children. We are looking for a Campus Coordinator with initiative, creativity and a desire to have a positive impact on a child’s life. Qualities Best Suited for the...
Relocation package
Shift work
Night shift
Weekend work
The Bradley Center
Pittsburgh, PA
6 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Pharmacy Coordinator. Be the first to apply!