Pharmacy Account Coordinator

Let’s do great things, together

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

• Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
• Position eligible for quarterly incentive & requires an insurance license to be obtained within 90 days of employment in role.

Please fill out an application on our company page, linked below, to be considered for this position

https://j.brt.mv/jb.do?reqGK=27751501&refresh=true

Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education:

• Bachelor’s degree or equivalent experience specializing in pharmaceutical benefits management, health insurance and/or marketing, sales, underwriting or math.
• 2-4 years pharmacy and/or health insurance industry experience, preferred, as it relates to funding, terminology, billing, customer service, and benefit plan operations.
• Demonstrates relationship building skills and can work well in a team environment.
• Demonstrates strong organizational skills and ability to organize and prioritize to meet established deadlines.
• Ability to communicate client and member interests and needs to internal project teammates to improve workflow processes.
• Strong analytical, problem solving, organizational skills with attention to detail.
• The ability to deal effectively with a variety of individuals and clients related to the provision of services designed to retain existing accounts.
• The ability to communicate effectively both verbally and in writing.
• Presents a positive and professional image in the community
• Maintains confidentiality and projects a professional business image.
• Proficiency with Microsoft Office applications (Teams, Word, Excel, Power Point).
• Maintains a valid driver’s license and a good driving record.
• Ability to be self-directed and work independently with little supervision.
• Ability to work well under pressure with frequent interruptions and shifting priorities.
• Ability to handle a pushcart/hand truck and is able to lift boxes up to 30 pounds in and out of a car trunk.

• Provide back-up support for Pharmacy Account Services teammates and Pharmacy leadership as requested.
• Act as a liaison between various internal departments and Pharmacy Account Services teammates when they are out of the office.
• Respond to written and oral inquiries from clients and consultants/brokers to research and problem solve service issues with appropriate internal departments/team members.
• Conduct review of monthly, quarterly, and annual client reports, and ensure delivery to client and/or broker/consultant in contractually required timeframes.
• Gather required data from other departments or external sub-contractors to compile and produce contractually required reports (i.e., performance guarantees, explanation of audit, etc.) and ensure timely delivery to clients.
• Triage and record invoices from external sub-contractors and route for signature. Work in coordination with accounting department to ensure payment.
• Oversee analysis and identification of root causes of complex service issues for clients and broker/consultants; directs dedicated functional experts (accounting, customer service, pharmacy operations, etc.) on corrective action steps to ensure end-to-end resolution of the issue.
• Coordinate the design and development of non-standard client materials, open enrollment materials, member guides, Q & As and other customized marketing materials.
• Coordinate, attend and assist Pharmacy Account team with client enrollment presentations and represents Moda at benefit and wellness fairs.
• Accompany Pharmacy Account team members on service calls with clients to represent Moda and explain program value and address client requirements and needs.
• Support department by preparing training materials including writing new and updating existing User Procedure Manuals, as assigned.
• Triage and coordinate requests for legislative reviews as directed by the Pharmacy leadership or as requested by clients.
• Perform other related duties as assigned.

• Ability to work outside of normal business hours to meet business needs.
• Ability to work well in demanding environment and under time constraints with clients.
• Extensive phone, PC, and keyboard work.
• Occasional business travel.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations please direct your questions to Kristy Nehler via our humanresources@modahealth.com email.