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Medical Pharmacy Administrator

Dallas, TX 75244

Posted: 01/31/2024 Employment Type: TempToFT Specialties: Healthcare Job Number: 143220 Pay Rate: $23.00/hour

Job Description

Are you a Pharmacy Administrator who wants great Shift & Pay? Are you compassionate about helping others and showing empathy? CornerStone is looking for you to fill a Pharmacy Admin role position with a great Company! Great Shift and pay with advancement opportunities. Once Hired full time, they offer a full benefit package including 401k, Medical Plans, great location and beautiful office - contact us now if qualified and interested!

Job Title: Medical Pharmacy Administrator

Location: Addison, TX

Pay: $22.00-$26.00

Schedule: Mon - Fri, Flexibility for shifts between 8am-8pm (Shifts)

Training: Mon-Fri, 9am-5:30pm (2/3 weeks)

Job Description:

  • Track and process various pharmacy and medical claim reports to identify current users of specialty drugs

  • Accurately and efficiently enter claims data in Salesforce

  • Identify program participants and completes intake preparation by verifying plan eligibility and creating: contacts, cases, referrals, and tasks in Salesforce

  • Submit alternate funding billing and override information to the dispensing specialty pharmacy

  • Research pharmacy and medical benefits in order to process benefit overrides

  • Enter (or submit) override details in the PBM claim system and informs the dispensing pharmacy when to reprocess claims

  • Utilize access to multiple PBM claim systems to identify new members, verify eligibility, enter overrides and investigating claim issues

  • Verify that PBM claims are processing per implementation guidelines

Requirements:

**CPhT or PTCB Certification preferred **

  • Minimum 3+ years of PBM, pharmacy operations, or claims processing experience required;

  • Minimum 2 years of recent dispensing and claims adjudication experience

  • Strong analytical, planning, organizational, communication, and time management skills;

  • Spanish Bilingual is a plus

Application Process Includes:

  • Drug testing

  • Background check

  • Clerical testing

For immediate consideration, please email your resume to addison.resume@cornerstonestaffing.com and write "Medical Pharmacy Administrator "on the subject line.

To Apply for this Job:

Click the Apply Online button at the top of this page, or below this job description, then:

  1. If you are currently registered with CornerStone Staffing, click the I have a username and password and want to log in button to add yourself as a candidate to this job.

  2. If your are NOT currently registered with CornerStone Staffing, click the I need to register button to complete the application and select the Addison branch.

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