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Pharmacy Coordinator

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Actalent

3mo ago

  • Job
    Full-time
    Junior & Mid Level
  • Customer Relations
    Healthcare
  • Henderson

AI generated summary

  • You must have an NV Pharmacy Technician license, strong phone and computer skills, Excel knowledge, experience with claims overrides, and the ability to collaborate with the Quality team.
  • You will support the pharmacy department by reviewing claims files, assisting the team with daily tasks, and coordinating the pharmacy program while maintaining NV pharmacy technician licensure.

Requirements

  • NV licensed Pharmacy Technician.
  • Phone Skills
  • Xcel knowledge
  • Claims overrides
  • Claims experience
  • Collaborate with Quality team
  • Computer skills

Responsibilities

  • NV licensed Pharmacy Technician.
  • Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan’s pharmacy program.
  • Daily review of claims files and support of Pharmacy team for tasks as they arise throughout the day
  • This position is a REMOTE Role but does have 2 weeks of onsite training in Las Vegas!

FAQs

Is a pharmacy technician license required for this position?

Yes, a Nevada (NV) licensed Pharmacy Technician is required.

What are the main responsibilities of the Pharmacy Coordinator?

The main responsibilities include supporting the pharmacy department in the development, coordination, and maintenance of the health plan's pharmacy program, as well as reviewing claims files and assisting the pharmacy team as needed.

Is there an in-person training requirement for this role?

Yes, there is a two-week onsite training requirement in Las Vegas.

What skills are essential for this role?

Essential skills include phone skills, Excel knowledge, claims management experience, collaboration with the Quality team, and general computer skills.

Does this position involve working with Medicaid and Medicare?

Yes, this position involves working with both Medicaid and Medicare.

What kind of experience is preferred for this role?

Preferred experience includes prior authorization, call center operations, quality improvement, managed care, utilization review, and compliance.

What is Actalent's approach to diversity and inclusion?

Actalent emphasizes diversity and inclusion by hiring diverse talent, maintaining an inclusive environment, building a culture of care and recognition, and ensuring growth opportunities for all employees.

Are there any accommodations available for applicants with disabilities?

Yes, reasonable accommodations are available. Applicants can email actalentaccommodation@actalentservices.com for options.

Is this position full-time or part-time?

The job description does not specify whether the position is full-time or part-time.

Will I need to collaborate with other teams in this role?

Yes, you will need to collaborate with the Quality team and other departments as necessary.

An Engineering and Sciences Services Company | People to Possible

Human Resources
Industry
5001-10,000
Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.