Pharmacy Support Coordinator
Elevance Health · Mason, OH · 1 mo ago
Information TechnologyFull-time
We need to output HTML fragment with headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Remove boilerplate, navigation, legal, EEO, etc. Also remove application instructions. Keep substantive info.
Let's parse the posting.
Key info:
- Title: Pharmacy Support Coordinator - Population Health Management (Hybrid)
- Location (Hybrid): This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
- Work Hours: Monday - Friday, 8:00am - 5:00pm
- The Pharmacy Support Coordinator (Pharmacy Technician II) is responsible for the interpretation and review of moderately complex prescriptions, population health management data, and troubleshooting adjudication issues including provider engagement work.
- How You Will Make An Impact (list of duties):
- Verifies member information, clinical and cost of care data to identify pharmacists’ opportunities to improve health
- Educates providers on pharmacy-based rules related to prescriptions and medication resources or assistance programs
- Processes data requests from physicians' offices and ensures compliance with Medicare & Commercial requirements; informs relevant parties of quality and cost opportunities
- Conduct outreach to provider offices to close critical quality gaps in care.
- Provides resolution to grievances from provider groups
- Responds to inquiries from physicians, sales team, and internal partners related to formulary and prescription benefits
- Generates reports relating for physician utilization, Clinical Criteria, and other ad hoc reports
- Maintains record keeping of presentations and monthly reports
- Support the improvement of overall performance within provider organizations.
- Minimum Requirements:
- Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
- Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Preferred Skills, Capabilities And Experiences:
- Experience with PBMs and Health plans preferred.
- For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
- Who We Are (company description) - maybe "About the role"? Actually "Who We Are" is about company, could be "About the role"? But we have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content.
We have:
- About the role: could be the description of role (the paragraph about interpretation and review etc.) Or maybe "How You Will Make An Impact" is responsibilities.
- Responsibilities: list of duties (the bullet list under How You Will Make An Impact).
- Requirements: Minimum Requirements.
- Qualifications: maybe Preferred Skills? Or we could treat Preferred Skills as Skills section.
- Skills: Preferred Skills, Capabilities And Experiences.
- Benefits: The posting mentions total rewards: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources. Also mentions Hybrid Workforce Strategy, vaccination requirement, etc. Benefits section can include those.
- Pay: Not mentioned explicitly. No salary or pay range. So we should NOT include Pay section.
- Schedule: Work Hours: Monday - Friday, 8:00am - 5:00pm. Also hybrid schedule: 1-2 days in-office per week. So we can include Schedule section with those details.
We must not include boilerplate like EEO, legal, accommodation request, etc. Also remove "Please be advised that Elevance Health only accepts resumes for compensation from agencies..." etc. Also remove "Who We Are" maybe but we could keep as About the role? Actually "Who We Are" is company description; could be considered "About the role"? Not exactly. The instruction: "use
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Remove boilerplate, navigation, legal, EEO, etc. Also remove application instructions. Keep substantive info.
Let's parse the posting.
Key info:
- Title: Pharmacy Support Coordinator - Population Health Management (Hybrid)
- Location (Hybrid): This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
- Work Hours: Monday - Friday, 8:00am - 5:00pm
- The Pharmacy Support Coordinator (Pharmacy Technician II) is responsible for the interpretation and review of moderately complex prescriptions, population health management data, and troubleshooting adjudication issues including provider engagement work.
- How You Will Make An Impact (list of duties):
- Verifies member information, clinical and cost of care data to identify pharmacists’ opportunities to improve health
- Educates providers on pharmacy-based rules related to prescriptions and medication resources or assistance programs
- Processes data requests from physicians' offices and ensures compliance with Medicare & Commercial requirements; informs relevant parties of quality and cost opportunities
- Conduct outreach to provider offices to close critical quality gaps in care.
- Provides resolution to grievances from provider groups
- Responds to inquiries from physicians, sales team, and internal partners related to formulary and prescription benefits
- Generates reports relating for physician utilization, Clinical Criteria, and other ad hoc reports
- Maintains record keeping of presentations and monthly reports
- Support the improvement of overall performance within provider organizations.
- Minimum Requirements:
- Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
- Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Preferred Skills, Capabilities And Experiences:
- Experience with PBMs and Health plans preferred.
- For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
- Who We Are (company description) - maybe "About the role"? Actually "Who We Are" is about company, could be "About the role"? But we have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content.
We have:
- About the role: could be the description of role (the paragraph about interpretation and review etc.) Or maybe "How You Will Make An Impact" is responsibilities.
- Responsibilities: list of duties (the bullet list under How You Will Make An Impact).
- Requirements: Minimum Requirements.
- Qualifications: maybe Preferred Skills? Or we could treat Preferred Skills as Skills section.
- Skills: Preferred Skills, Capabilities And Experiences.
- Benefits: The posting mentions total rewards: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources. Also mentions Hybrid Workforce Strategy, vaccination requirement, etc. Benefits section can include those.
- Pay: Not mentioned explicitly. No salary or pay range. So we should NOT include Pay section.
- Schedule: Work Hours: Monday - Friday, 8:00am - 5:00pm. Also hybrid schedule: 1-2 days in-office per week. So we can include Schedule section with those details.
We must not include boilerplate like EEO, legal, accommodation request, etc. Also remove "Please be advised that Elevance Health only accepts resumes for compensation from agencies..." etc. Also remove "Who We Are" maybe but we could keep as About the role? Actually "Who We Are" is company description; could be considered "About the role"? Not exactly. The instruction: "use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we can include About the role (maybe a brief description of the role). Responsibilities (list). Requirements (minimum). Qualifications (maybe preferred? but we have Skills separate). Skills (preferred). Benefits (total rewards). Schedule (work hours/hybrid). We should not include Pay.
We must preserve all substantive information; do not invent or summarize away detail. So we need to include all the details from the posting that are substantive.
Let's extract each piece.
About the role: Could be the paragraph: "The Pharmacy Support Coordinator (Pharmacy Technician II) is responsible for the interpretation and review of moderately complex prescriptions, population health management data, and troubleshooting adjudication issues including provider engagement work." Also maybe the hybrid location description? That could be part of Schedule or About the role? The location/hybrid description is about work arrangement; could be part of Schedule. But we could also include in About the role as context. However we need to avoid duplication. Let's decide: About the role: short description of role responsibilities (the interpretation etc.). Responsibilities: the bullet list under How You Will Make An Impact. Requirements: Minimum Requirements. Qualifications: maybe we could treat as "Preferred Skills, Capabilities And Experiences" as Skills. But we also have "Preferred Skills, Capabilities And Experiences" which includes experience with PBMs and Health plans preferred, and for URAC accredited areas, competencies: strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, analytical skills. That's skills.
We could also have Qualifications: maybe the combination of education/experience? But that's already in Minimum Requirements. So Qualifications could be left out if not distinct. But we need to include sections only when posting has real specific content. We have content for About the role, Responsibilities, Requirements, Skills, Benefits, Schedule. Possibly also Qualifications if we treat "Preferred Skills" as Qualifications? But we already have Skills. Let's follow the given examples: they list About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can map:
- About the role: role description.
- Responsibilities: duties list.
- Requirements: minimum requirements.
- Qualifications: maybe "Preferred Skills, Capabilities And Experiences" could be considered Qualifications? But they also have Skills separate. Could treat Qualifications as "Preferred Skills, Capabilities And Experiences" and Skills as something else? But there is no other skills list. However we could split: Qualifications = education/experience beyond minimum? But we don't have that. Could omit Qualifications if no distinct content. But we need to avoid empty headings. So we should not include Qualifications if we don't have specific content beyond what's already in Requirements or Skills. The posting does not have a separate "Qualifications" section besides Minimum Requirements and Preferred Skills. So we can omit Qualifications.
- Skills: Preferred Skills, Capabilities And Experiences.
- Benefits: total rewards description.
- Schedule: Work Hours and hybrid schedule.
- Pay: omitted.
Now we need to format as HTML fragment: use for each section heading, then content:
for each section heading, then content:
for prose,
- for lists.
We must not include any markdown code fences. Just raw HTML.
We need to ensure we preserve all substantive information. Let's list all substantive info we need to include:
From posting:
- Hybrid location description: "This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law."
- Work Hours: "Monday - Friday, 8:00am - 5:00pm"
- Role description: "The Pharmacy Support Coordinator (Pharmacy Technician II) is responsible for the interpretation and review of moderately complex prescriptions, population health management data, and troubleshooting adjudication issues including provider engagement work."
- How You Will Make An Impact (duties):
1. Verifies member information, clinical and cost of care data to identify pharmacists’ opportunities to improve health
2. Educates providers on pharmacy-based rules related to prescriptions and medication resources or assistance programs
3. Processes data requests from physicians' offices and ensures compliance with Medicare & Commercial requirements; informs relevant parties of quality and cost opportunities
4. Conduct outreach to provider offices to close critical quality gaps in care.
5. Provides resolution to grievances from provider groups
6. Responds to inquiries from physicians, sales team, and internal partners related to formulary and prescription benefits
7. Generates reports relating for physician utilization, Clinical Criteria, and other ad hoc reports
8. Maintains record keeping of presentations and monthly reports
9. Support the improvement of overall performance within provider organizations.
- Minimum Requirements:
- Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
- Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Preferred Skills, Capabilities And Experiences:
- Experience with PBMs and Health plans preferred.
- For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
- Who We Are (company description) maybe not needed for sections but could be part of About the role? But we already have role description. The "Who We Are" is about Elevance Health: "Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve." This is substantive but not about the role. Could be placed under About the role? But About the role is supposed to be about the role, not company. However we could include a brief company description under About the role? The instruction says use headings like About the role, Responsibilities, etc. It doesn't forbid including company description under About the role. But we might better put it under a separate section? Not in list. Could omit because not required? The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. So we must include the company description somewhere. Where could we put it? Possibly under About the role as a brief intro? Or we could create a section like "About the company" but not in allowed headings. The allowed headings are examples; we could still use other headings? The instruction: "use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications