Job Description

Pharmacy Services Coordinator

Job Family: Customer Care
Type: Full time
Date Posted:Apr 30, 2023
Req #: JR68374

Location:

National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint

Description

Position: Pharmacy Services Coordinator

Location: National 50+ miles from nearest Pulse Point

Schedule: Flex 1 (0-3 days per month in office)

Responsible for being the primary contact and liaison for and between the company's medical partners and the pharmacy vendor for implementing and de-implementing client Rx benefits.

Primary duties may include, but are not limited to:

Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy clients.
Understands the intricacies of prescription drug benefits and how they adjudicate.
Understands and interprets client requests for new benefit designs.
Coordinates, conducts and/or supports internal and external client meetings or training sessions as needed.
Works with multiple departments and sources in order to accommodate the needs of our clients; this includes claim processing, customer service, & medical account management.
Oversees benefit set up process to ensure pharmacy product changes occur with minimal disruption.
Develops, reviews, and researches capabilities of pharmacy system to accommodate drug benefit design requested by clients or suggested by medical teams.
This includes attendance and support for processes to review new plan design requests, i.e. Customer Exception Process and National Accounts Approval Process, and collaborating with Product development, Proposal Development,
Customer Exception and Sales Departments.
Create or coordinate the delivery of standard and custom reports for internal and external clients, such as claims, drug utilization and impact reports to our clients in compliance with performance guarantees and client requests.

Requires a BA/BS degree and a minimum of 5 years of customer service, claims, and/or membership experience in healthcare and a minimum of 3 years related pharmacy experience; or any equivalent combination of education and experience which would provide an equivalent background.

Working knowledge of pharmacy benefit management industry preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $52,480 to $90,528

Locations: California; Colorado; Nevada; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY; Washington

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

EEO Policy Statement
Know Your Rights
Pay Transparency
Privacy Notice for California Residents

Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

Need Assistance?

Email us ([email protected]) or call 1-877-204-7664

Application currently closed

This job was posted on Tue May 02 2023 and expired on Mon May 29 2023.

Minimum $29K /yr

$36K /yr Average

Maximum $50K /yr

Tasks

Review prescriptions to assure accuracy, to ascertain the needed ingredients, and to evaluate their suitability.

Provide information and advice regarding drug interactions, side effects, dosage, and proper medication storage.

Maintain records, such as pharmacy files, patient profiles, charge system files, inventories, control records for radioactive nuclei, or registries of poisons, narcotics, or controlled drugs.

Plan, implement, or maintain procedures for mixing, packaging, or labeling pharmaceuticals, according to policy and legal requirements, to ensure quality, security, and proper disposal.

Assess the identity, strength, or purity of medications.

Collaborate with other health care professionals to plan, monitor, review, or evaluate the quality or effectiveness of drugs or drug regimens, providing advice on drug applications or characteristics.

Order and purchase pharmaceutical supplies, medical supplies, or drugs, maintaining stock and storing and handling it properly.

Analyze prescribing trends to monitor patient compliance and to prevent excessive usage or harmful interactions.

Advise customers on the selection of medication brands, medical equipment, or healthcare supplies.

Compound and dispense medications as prescribed by doctors and dentists, by calculating, weighing, measuring, and mixing ingredients, or oversee these activities.

Manage pharmacy operations, hiring or supervising staff, performing administrative duties, or buying or selling non-pharmaceutical merchandise.

Provide specialized services to help patients manage conditions, such as diabetes, asthma, smoking cessation, or high blood pressure.

Offer health promotion or prevention activities, such as training people to use blood pressure devices or diabetes monitors.

Contact insurance companies to resolve billing issues.

Teach pharmacy students serving as interns in preparation for their graduation or licensure.

Refer patients to other health professionals or agencies when appropriate.

Work in hospitals or clinics or for Health Management Organizations (HMOs), dispensing prescriptions, serving as a medical team consultant, or specializing in specific drug therapy areas, such as oncology or nuclear pharmacotherapy.

Prepare sterile solutions or infusions for use in surgical procedures, emergency rooms, or patients' homes.

Update or troubleshoot pharmacy information databases.

Publish educational information for other pharmacists, doctors, or patients.

Skills

Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Writing - Communicating effectively in writing as appropriate for the needs of the audience.

Speaking - Talking to others to convey information effectively.

Mathematics - Using mathematics to solve problems.

Science - Using scientific rules and methods to solve problems.

Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.

Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.

Coordination - Adjusting actions in relation to others' actions.

Instructing - Teaching others how to do something.

Service Orientation - Actively looking for ways to help people.

Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Systems Analysis - Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.

Time Management - Managing one's own time and the time of others.

Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.

Knowledge

Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Chemistry - Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.

Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.

Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.

Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.

Therapy and Counseling - Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.

English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

Wellness Programs
Dental Insurance
Vision Insurance
Life Insurance

Paid Holidays
Disability Insurance
401K Plan

Employee Stock Purchase Plan
Vacation & Paid Time Off
Health Insurance

Pharmacy Services Coordinator

Job

Description

Salary

Skills

Benefits

Job Description

Tasks

Skills

Knowledge

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