Pharmacy Benefit Coordinator

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🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $67k - $72k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🚫👨‍🎓 No degree required

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Maryland Primary Care Physicians

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1996

👥 B2C

🧘 Wellness

B2C • Wellness

Maryland Primary Care Physicians is a physician-owned primary care group serving families across Central Maryland, offering patient-centered comprehensive care at multiple office locations. They provide primary and preventive care, pediatric and family services, same-day sick visits, after-hours and weekend telemedicine, onsite lab testing, and integrated specialty services including cardiology, endocrinology, genetics, and nutrition. The practice emphasizes continuity of care, community roots, online appointment scheduling, a patient portal for 24/7 access, and coordinated care across specialties to support patients through every stage of life.

📋 Description

• Work collaboratively with quality management to support HEDIS adherence projects • Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes • Review pharmacy services recommended for denial and investigate data from plan providers • Assist in the management of members by collecting pertinent information from plan providers and pharmacy data systems • Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives • Serve as a pharmacy liaison and resource person to plan pharmacies and members • Assist the Pharmacist with monitoring and evaluation of pharmacy utilization

🎯 Requirements

• High School diploma/ GED, or equivalent • Current Maryland State Pharmacy Technician licensure • Certification from a nationally recognized Pharmacy Technician Certification Board • Minimum two (2) years of experience as a pharmacy technician • Experience working in a managed care, insurance, PBM, or equivalent environment is strongly preferred • Experience supporting utilization management/prior authorization processes

🏖️ Benefits

• medical, dental, and vision plans • 100% employer Term Life Insurance • Short and Long-Term Disability • 401k Employer Match up to 4% • 20 days of PTO • tuition assistance/professional development plans