Pharmacy Coordinator I at Johns Hopkins Medicine

Johns Hopkins Health Plansis a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered and have a passion to be at the forefront of change JHHP is the place to call home.YOU belong here.What awaits you:Work-life balance -This is a remote optimal role. One day per quarter onsite required at our Hanover MD office.Medical Dental and Vision Insurance.403B Savings Plan w/employer contribution.Paid Time off & Paid holidays.Employee and Dependent Tuition assistance benefits.Health and wellness programs and MORE!Who you are:You are a Pharmacy Tech who has worked in a managed care Pharmacy environment. You understand Pharmacy Benefits Manager (PBM) claims processing and prior authorization. Your superior communication and interpersonal skills allow you to easilyinteract with a diverse patient population providers and know that your job impacts our customers experience; our members physicians pharmacists and internal customers will all benefit from your attention to details that matter.What youll do:Perform review of daily rejected claims and initiate resolution as neededConduct and receive calls to/from members providers and pharmacies regarding gaps in medication adherence therapeutic interchange and other pharmacy clinical programsAssist in the research analysis identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.Assist in monitoring program initiatives outcomes and objectives to ensure goal attainmentCoordinate member and provider correspondence regarding pharmacy clinical programsSupports the pharmacist with completion of comprehensive medication reviews and other clinical initiatives through pre-work up and case preparation.What youll bring:2 years experience in pharmacy claims adjudication and pharmacy benefit interpretation in a managed care environment.3 years experience as a retail Pharmacy Technician and 1 year experience as a call center representative or claims examiner may be substituted.High school diploma or GED requiredWho we are:Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500000 active members with lines of business in Medicaid Medicare commercial military health health solutions and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.Many organizations talk about transforming the future of healthcare at Johns Hopkins Health Plans we are setting the pace for change within the healthcare industry. We develop innovative analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.Salary Range: Minimum 19.00/hour - Maximum 28.26/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount salary discussions will occur during candidate screening calls before any subsequent compensation discussion is held between the candidate and any hiring authority.We are committed to creating a welcoming and inclusive environment where we embrace and celebrate our differences where all employees feel valued contribute to our mission of serving the community and engage in equitable healthcare delivery and workforce practices.Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity and expression age national origin mental or physical disability genetic information veteran status or any other status protected by federal state or local law.Johns Hopkins Health System and its affiliates are drug-free workplace employers.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 Employment Type : Full-Time Experience: years Vacancy: 1