CareerPharm®

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

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Job Description:

Responsible for all activities regarding state licensed data entry, claims adjudication, prior authorization, pharmacy specialist, and technician quality assurance staff and processes. This position coordinates the day-to-day activities of prescription order intake, technician quality assurance, claims adjudication, copay assistance, prior authorization, and prescription clarification processes to ensure timely completion in accordance with the pharmacy's goals. Additionally, this role hires, trains, and manages team members and supervisors of the processing intake, prior authorization, specialist, and quality teams. In addition, this position resolves difficult issues regarding new and refill prescription orders, prescription turnaround times, and other matters requiring sensitivity and speed. This role is a subject matter expert in State and Federal pharmacy laws and regulations.

• Acts as a resource for the organization on prescription plan questions and claims adjudication.
• Maintains strong vendor and customer relationships through professional interactions.
• Guides staff in executing processes and procedures, offering training and support as needed.
• Sets daily goals and specific duty assignments for processing team staff.
• Other duties as assigned.

The expertise and experiences you’ll need to succeed:

QUALIFICATION REQUIREMENTS:

Pay Range:

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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About AdventHealth

At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. More than 100,000 skilled and compassionate caregivers in physician practices, hospitals, outpatient clinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, wholistic care.Our Christian mission, shared vision, common values and focus on whole-person health is our commitment to making communities healthier with a unified system: 51 hospital campuses and hundreds of care sites in diverse markets throughout nine states.

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https://careers.ashp.org/jobs/21945207/pharmacy-processing-manager