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Elevance Health - Indianapolis, IN
posted about 1 month ago
Full-time - Mid Level
Indianapolis, IN
11-50 employees
Insurance Carriers and Related Activities
About the position
The Pharmacy Services Coordinator serves as the primary contact and liaison between the company's medical partners and the pharmacy vendor, focusing on the implementation and de-implementation of client Rx benefits. This role is crucial in ensuring accurate and timely customer service for pharmacy clients while managing the complexities of prescription drug benefits.
Responsibilities
- Researches and interprets claims issues while ensuring good, accurate and timely customer service for pharmacy clients.
- Understands the intricacies of prescription drug benefits and how they adjudicate.
- Interprets client requests for new benefit designs.
- Coordinates, conducts and/or supports internal and external client meetings or training sessions as needed.
- Works with multiple departments to accommodate client needs, including claim processing, customer service, and medical account management.
- Oversees the benefit setup process to ensure pharmacy product changes occur with minimal disruption.
- Develops, reviews, and researches capabilities of pharmacy systems to accommodate drug benefit designs requested by clients or suggested by medical teams.
- Attends and supports processes to review new plan design requests, collaborating with various departments.
- Creates or coordinates the delivery of standard and custom reports for internal and external clients.
Requirements
- Requires a BA/BS degree and a minimum of 5 years of customer service, claims, and/or membership experience in healthcare.
- Minimum of 3 years related pharmacy experience, or any equivalent combination of education and experience.
Nice-to-haves
- Working knowledge of pharmacy benefit management industry preferred.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical insurance
- Dental insurance
- Vision insurance
- Short and long term disability benefits
- 401(k) with matching
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
