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Pharmacy Coordinator

Pharmacy Coordinator | Harrisburg, PA | Contract

Job Description
Pharmacy Coordinator
Work Location: Harrisburg, PA

Job Summary/Description
In this position will be responsible for receiving and processing drug prior authorization requests for the Pharmacy Program of the Department of Human Services, Office of Medical Assistance Program’s Bureau of Fee-For-Service (FFS).

Job Duties/Responsibilities/Functions (including but not limited to)
• Process prior authorization requests. Issue prior authorizations as appropriate through established protocols, policies and procedures. Communicate with the physicians and pharmacies approvals and denials by phone and/or letter as needed.
• Answer questions/requests and resolve issues from providers, pharmacists and staff. The incumbent will field questions regarding pharmacy benefit issues and communicate details of service through telephonic responses to physicians, pharmacists and Commonwealth staff. Issues addressed include prescription benefits, formulary issues, prescription claim processing, and prior authorizations. The incumbent ensures documentation of actions.
• Resolve routine provider pharmacy concerns. This includes answering questions from various sources (a member, physician, staff, etc) regarding specific provider issues and as appropriate deciding on plans of action to resolve routine issues.
• Provide administrative support to the pharmacy team. This involves preparation and distribution of Policies & Procedures, committee agendas and minutes, and other correspondence as required.
• Document all communications appropriately. This includes documentation through DPW’s telephone call tracking system.
• Maintain current information regarding pharmacy benefits and all pharmacy reference material.
• Assist the Director or Project Manager in projects, reviews, mailings and all other matters relevant to the pharmacy benefit.
• Participate in team meetings and any other committees as deemed appropriate by the Director
• Assist in the preparation and distribution of Quarterly Utilization Reviews
• Assist in the preparation and distribution of Preferred Drug Lists and periodic updates to providers.
• Assist in the preparation of any pharmacy related educational programs.
• Perform other duties as assigned.

Minimum Qualifications
• Basic Computer Skills
• Associate's Degree in Health-Related Field
• Pharmacy Technician Certification
• Have experience working for a Pharmacy Benefit Management (PBM) company or health plan in a managed care pharmacy department
• Have a working knowledge of retail pharmacy third party prescription processing
• Have knowledge of drug categories, brand and generic names including pronunciation and spelling
• Have knowledge of utilization management tools used for controlling pharmacy costs – i.e. quantity limits, prior authorization, step therapy, generic programs, etc
• Have the ability to have a professional dialogue with a physician or a physician’s staff
• Have effective verbal and telephonic skills
• Possess excellent organization, planning, communications, and interpersonal skills

About InGenesis
InGenesis is dedicated to placing people in positions that preserve life, improve lives and inspire others. This does not happen without passionate people, skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. Founded in 1998, InGenesis manages thousands of employees, including pioneering healthcare, science, technology and pharma professionals. The workforce solutions company includes almost half of the Fortune 500 in its nearly 300 clients. It is recognized as one of the largest healthcare staffing firms, and InGenesis is the largest minority/women owned healthcare staffing firm in North America.

EEOC Statement
We support a diverse workforce and is an Equal Opportunity Employer who does not discriminate against employees and applicants for employment on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, genetic information, disability, veteran status, or other classification protected by law.