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Pharmacy Support Coordinator
Elevance Health. Interpret and review moderately complex prescriptions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in interpreting prescriptions, managing pharmacy-related data, and ensuring compliance with Medicare and Commercial requirements. Strong ability to educate providers and improve health outcomes through effective communication and problem-solving.
Highest-signal resume keywords
Active Professional LicenseState Pharmacy Technician CertificationPharmacy ExperiencePBM ExperienceAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prescription InterpretationData ManagementAdjudication TroubleshootingClinical Criteria ReportingCost-of-Care Data Verification
Soft Skills
Oral Communication SkillsWritten Communication SkillsInterpersonal Communication SkillsProblem-Solving SkillsFacilitation Skills
Certifications & Qualifications
Pharmacy Technician Certification
Industry Keywords
Population Health ManagementProvider EngagementMedicare ComplianceCommercial RequirementsFormulary Benefits
About the role
Key responsibilities & impact- Interpret and review moderately complex prescriptions
- Review population health management data
- Troubleshoot adjudication issues, including provider engagement work
- Verify member information and clinical and cost-of-care data to identify pharmacists’ opportunities to improve health
- Educate providers on pharmacy-based prescription rules and medication resources or assistance programs
- Process data requests from physicians’ offices while ensuring Medicare and Commercial requirements compliance
- Inform relevant parties of quality and cost opportunities
- Conduct outreach to provider offices to close critical quality gaps in care
- Resolve grievances from provider groups
- Respond to inquiries regarding formulary and prescription benefits
- Generate physician utilization, Clinical Criteria, and ad hoc reports
- Maintain records of presentations and monthly reports
- Support performance improvement within provider organizations
Requirements
What you’ll need- Active professional license, if required by state law
- State Pharmacy Technician Certification or National Certification based on applicable state requirements
- Authorization to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States
- High school diploma or equivalent
- Minimum of 2 years of pharmacy experience
- Experience with PBMs and health plans preferred
- Strong oral, written, and interpersonal communication skills
- Problem-solving skills
- Facilitation skills
- Analytical skills
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid work arrangement with virtual-work flexibility