Sentara Health is currently recruiting for a Full-Time, Remote

Pharmacy Prior Authorization Coordinator in Richmond or Tidewater, VA area.

Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting the Pharmacy Department's day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial).

This position handles member/provider requests/inquiries regarding pharmacy benefits, prior authorizations, or claim resolution. The PAC also uses the pharmacy computer system to facilitate prior authorizations and participate in patient/provider/customer care activities that do not require the expertise of a pharmacist.  The position will be an internal resource interfacing with members, providers, and internal departments' personnel to resolve pharmacy claims and prior authorization issues.

Job Requirements

High School Grad or EquivalentCertified Pharmacy Technician (CPhT)NHA Pharmacy Technician Certification (CPhT)Pharmacy Technician 1 year requiredPharmacy Call Center or Authorization experience preferredManaged Care, Health Plan or PBM experience preferredState Registration required based on location, VA or NC

Benefits:  Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:

Comprehensive health care plansGenerous paid annual leave401a/401k/403b planLong and short-term disabilityTuition ReimbursementFlex spending and life insuranceYou can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity.   Join a team that has a mission to improve health every day, join the Sentara Team! 

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and

growth.

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