Coordinator of Pharmacy Benefits - 40 hrs/wk - Henry Ford Utilization Management(Troy)

Henry Ford Health - Troy, MI

Full-time - Entry Level

Troy, MI

Ambulatory Health Care Services

About the position

The Pharmacy Benefits Coordinator plays a crucial role in the Pharmacy Care Management department by overseeing and enhancing pharmacy benefit management policies and procedures. This position involves managing the claims processing system, developing new benefit designs, organizing prior authorization processes, and maintaining vendor and customer relationships. The coordinator serves as a resource for departmental staff and works under the direction of the Manager of Pharmacy Benefits.

Responsibilities

• Designs and implements changes in existing and new pharmacy benefit structures.
• Coordinates and improves departmental processes and procedures in conjunction with the pharmacy manager.
• Documents and maintains departmental policies, procedures, manuals, and databases.
• Represents the department at internal and external meetings.
• Trains employees on pharmacy benefit procedures and policies.
• Coordinates relationships with vendors and customers such as MedImpact and Medea.
• Serves as an internal resource for complex benefit issues and cases.
• Coordinates contract management with vendors including pharmacies and drug companies.
• Performs other duties as assigned.

Requirements

• High School Diploma required.
• Associate Degree or higher preferred.
• One year of pharmacy benefit management experience or equivalent required.
• Two years of pharmacy technician experience or equivalent required.

Benefits

• Competitive health plan options including CDHPs, PPO, and HMO plans.
• Dental and eye care coverage.
• Tuition assistance.
• Family forming benefits.
• Discounts to dozens of businesses.