California Licensed Patient Care Coordinator

Job Summary

A company is looking for a Patient Care Coordinator who will contribute to the Pharmacy Benefit Management services provided to customers.

Key Responsibilities

• Respond to member inquiries regarding prescription drug benefits and assist with Prior Authorization Requests
• Support the development of policies and procedures for customer service agents and assist in resolving escalations
• Achieve service level targets and contribute to workflow improvements in pharmacy operations

Required Qualifications

• High school diploma with 1-3 years of experience in Pharmacy Benefit Management or retail pharmacy practice
• Valid Pharmacy Technician Certification Board Certification (PTCB) is desirable
• Intermediate knowledge of prescription benefits and pharmacy claims
• Ability to work effectively in a fast-paced environment and adapt to changes
• HIPAA compliance knowledge and ability to maintain a secure workstation