Pharmacy Prior Authorization Coordinator I
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Job Location:
Virginia Beach, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
City/State
Virginia Beach VAWork Shift
First (Days)Overview:
Sentara is hiring a Full-time Pharmacy Prior Authorization Coordinator for Sentara Medical Groups.
Location: Remote must reside in Virginia or North Carolina only.
Status: Full Time (40 hrs/wk)
Shift: Days Monday-Friday
Hours: 730am-4pm or 8am-430pm
**Must be a licensed Pharmacy Technician or a Certified Medical Assistant to qualify for this position**
**Candidates must reside in Virginia or North Carolina only.
This is a REMOTE position.
Overview
The Pharmacy Prior Authorization Coordinator I is responsible for delivering high-quality customer service by answering and managing calls from members provider offices and pharmacies. This role supports the processing of prior authorization (PA) requests for pharmacy benefit medications ensuring accuracy compliance with regulatory and clinical guidelines and alignment with client performance standards. Works under general supervision using established protocols and systems to support timely efficient and accurate PA determinations.
Education
HS Diploma or equivalent
Licensure/Certification
**Must be a licensed Pharmacy Technician or a Certified Medical Assistant to qualify for this position**
Virginia Pharmacy Tech License (Required) and CPhT License (Received through the NHA or PTCB) (Required)
OR
Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or Certified Clinical Medical Assistant (CCMA)
Experience
1 year of healthcare administrative experience (Required).
1 year of Managed Care Health Plan or PBM experience preferred.
1 year of Pharmacy Call Center or Authorization experience preferred.
keywords:
Pharmacy Tech PTCB NHA discounted Medication Pharmacy outpatient Pharmacy Pharmacy Technician Compounding Epic Hospital inventory management Rx order 340B CPhT Indeed Monster Talroo LinkedIn #LI-SM1 managed care health plan PBM prior authorization CMA RMA CCMA Medical Assistant MA
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Key Skills
- IT Experience
- LTC Pharmacy
- Hospital Experience
- Pharmacy Software
- Infusion Experience
- Management Experience
- Pharmacy Residency
- Training & Development
- Pharmacy Technician Experience
- Supervising Experience
- Clinical Pharmacy Experience
- Compounding Medications
About Company
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.
