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Pharmacy Benefit Coordinator | Pharmacy Benefit Coordinator in Other Job Job at Point32health in C1

This listing was posted on Professional Diversity Network.

Pharmacy Benefit Coordinator

Location:
Canton, MA
Description:

Who We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click here . Job Summary Pharmacy Benefit Coordinator is responsible for review and resolution of benefit and eligibility issues, accurate and timely creation of member level overrides of plan coverage in the RxClaims System for all lines of business within Point32Health.Position will be remote, except for 1 day a calendar quarter in the Canton, MA office, as well as 1 day/week extended shift 11:30am - 8pm. Key Responsibilities/Duties - what you will be doing Acts as the primary customer service/policy contact on member level benefit and eligibility issues Executes member level overrides of plan coverage in the RXCLAIM system Identifies and resolves problems associated with member requests Assists partner departments with pharmacy operation questions and triage questions to/from PBM as necessary Provides a variety of administrative functions to support the pharmacy program Participates in meetings as required by the department Manager and Supervisor Performs other related duties as assigned by the Supervisor, Pharmacy Operations Qualifications - what you need to perform the job High School Diploma or equivalent required, Bachelor's Degree preferred Pharmacy experience required; knowledge of pharmacy services and pharmacy terms required Registered Pharmacy Technician preferred; Certified Pharmacy Technician preferred One to three years' experience in a health care setting required, preferably customer service setting Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:Medical, dental and vision coverageRetirement plansPaid time offEmployer-paid life and disability insurance with additional buy-up coverage optionsTuition programWell-being benefitsFull suite of benefits to support career development, individual & family health, and financial healthFor more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.PDN-9c1dce4a-8b9c-4d8b-9a10-702b2ded1c8e
Company:
Point32health
Industry:
Other
Posted:
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