SMG Pharmacy Prior Authorization Coordinator I

City / State

Virginia Beach VA

Work Shift

First (Days)

Overview : Overview

The Pharmacy Prior Authorization Coordinator I is responsible for delivering high-quality customer service by answering and managing calls from members provider offices and pharmacies. This role supports the processing of prior authorization (PA) requests for pharmacy benefit medications ensuring accuracy compliance with regulatory and clinical guidelines and alignment with client performance standards. The Coordinator I works under general supervision using established protocols and systems to support timely efficient and accurate PA determinations.

Education

• HS Degree

Experience

Benefits : Caring For Your Family and Your Career

Medical Dental Vision plans

Adoption Fertility and Surrogacy Reimbursement up to $10000

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term Short-Term Disability and Critical Illness plans

Life Insurance

401k / 403B with Employer Match

Tuition Assistance $5250 / year and discounted educational opportunities through Guild Education

Student Debt Pay Down $10000

Reimbursement for certifications and free access to complete CEUs and professional development

Pet Insurance

Legal Resources Plan

Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission to improve health every day this is a tobacco-free environment.

For positions that are available as remote work Sentara Health employs associates in the following states :

Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.

Required Experience :

IC

Key Skills

IT Experience,LTC Pharmacy,Hospital Experience,Pharmacy Software,Infusion Experience,Management Experience,Pharmacy Residency,Training & Development,Pharmacy Technician Experience,Supervising Experience,Clinical Pharmacy Experience,Compounding Medications

Employment Type : Full-Time

Experience : years

Vacancy : 1