What are the responsibilities and job description for the Pharmacy Prior Authorization Coordinator I position at Sentara?
Sentara Health is currently recruiting for a Full-Time, Remote
Pharmacy Prior Authorization Coordinator in Richmond or Tidewater, VA area.
Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting the Pharmacy Department's day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial).
This position handles member/provider requests/inquiries regarding pharmacy benefits, prior authorizations, or claim resolution. The PAC also uses the pharmacy computer system to facilitate prior authorizations and participate in patient/provider/customer care activities that do not require the expertise of a pharmacist. The position will be an internal resource interfacing with members, providers, and internal departments' personnel to resolve pharmacy claims and prior authorization issues.
Job Requirements
- High School Grad or Equivalent
- Certified Pharmacy Technician (CPhT)
- NHA Pharmacy Technician Certification (CPhT)
- Pharmacy Technician 1 year required
- Pharmacy Call Center or Authorization experience preferred
- Managed Care, Health Plan or PBM experience preferred
- State Registration required based on location, VA or NC
Benefits: Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:
- Comprehensive health care plans
- Generous paid annual leave
- 401a/401k/403b plan
- Long and short-term disability
- Tuition Reimbursement
- Flex spending and life insurance
- You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day, join the Sentara Team!
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and
growth.
keywords: pharmacy technician, managed care, health plan, Indeed, Monster
Salary : $1,000 - $1,000,000
