Coordinator, Pharmacy Support & Operations

Responsibilities

• Responsible for creating a patient profile in the pharmacy information system.
• Enters necessary prescription plan information in the patient profile for processing and adjudicating patient’s prescriptions.
• Responsible for entering all new patient prescription information into the pharmacy information system.
• Addresses insurance, reimbursement, and payment issues as appropriate by communicating with insurance providers, patients and pharmacists.
• Participates in achieving business goals and metrics for the Ambulatory Pharmacy.
• Retrieves and prepares the medication for pharmacist review and verification.
• Prepares inventory reports for pharmacist review to purchase.
• Submits, receives, and places inventory in stock.
• Answers inbound telephone calls and triages calls as appropriate based upon the nature of the call to the appropriate staff.
• Assists with the reviews and handling of all adjudicated prescription claims to ensure appropriateness of reimbursement, co-pay and related financials and, if needed, as directed, follows up all such claims deemed inappropriate.
• Assists Pharmacist by providing required information for therapeutic consults with patients.
• Intervenes with Pharmacy Benefit Manager Companies to resolve plan and patient specific adjudication issues.
• Supply and monitor ambulatory dispensing robotic technology.
• Actively participates by delivering medications and pharmaceutical supplies to patients as outlined by the concierge prescription program.
• Performs related duties as assigned.

Qualifications

• High School Diploma/GED or equivalent experience required.
• 2+ years of experience in support, warehouse, logistics, or pharmacy operations, or a related field required.
• Certification in pharmacy technician licensure or credentialing, or equivalent preferred.

Benefits

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.