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Pharmacy Implementation Coordinator - Client Configuration - Remote - Evernorth

100% remote Flexible hours Hiring now

  • External applicants must have prior reputed company/ESI Pharmacy experience and meet the qualifications of the role **

Role Summary: The Pharmacy Implementation Coordinator is part of a team responsible for installing and maintaining the plan information that is used and accessed both internally reputed company the reputed company organization and externally by clients, customers and appropriate parties. The Pharmacy Implementation Coordinator will manage, review and provide reputed company of account installation for Pharmacy new business and account renewals. The Implementation Coordinator will work with assigned resources to configure benefits for loading in the Pharmacy vendor system and review setup for the portfolio of assigned accounts. This role also includes issue resolution for the implementation and service of accounts for the National, Regional, and small account business segments. The Implementation Coordinator provides complete, accurate and timely responses to Pharmacy Implementation Managers and builds collaborative relationships with the aforementioned as well as various matrix partners. Responsibilities:

  • Administers and manages the installation of assigned accounts
  • Reviews and completes the configuration, loading and updates of plans
  • Analyzes benefit requests and secures necessary data to ensure appropriate implementation and alignment with the pharmacy claim adjudication system
  • Identifies improvement opportunities and mitigates risk to ensure accurate account set up
  • Researches service issues and provides quick resolution to minimize customer impact
  • Responsible for requesting, analyzing and reporting pharmacy data
  • Ensures policies and procedures are documented appropriately
  • Mentors Implementation Set-up Representatives

Qualifications:

  • High School Diploma or GED required. Bachelor’s degree preferred
  • 3+ Pharmacy experience required
  • 3+ years PBM and Healthcare implementation experience highly preferred
  • Demonstrated success and proficiency in organizational skills, written and verbal communication skills, inter-company project management, communication with senior management, and presentation skills required
  • Established organizational skills to analyze, recommend and improve workflows required
  • Knowledge of Healthcare plans and benefit structures required
  • Proficient understanding of Healthcare insurance rules and regulation (HIPAA, Healthcare Reform, etc.) required
  • Demonstrated ability to reputed company, document and maintain operational policies and procedures required
  • Demonstrated ability to work in a highly reputed company and matrix environment required

Technical Skills:

  • Knowledge of Pharmacy systems and reputed company documents inclusive but not limited to PCIT, and applicable ESI platform highly desired
  • Proficient knowledge of SharePoint, reputed company Office, Project Management software and various software platforms

If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 61,400 - 102,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at reputed company. About reputed company Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to provide your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job

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