Virginia Pharmacy Prior Authorization Coordinator

Job Summary

Delivering high-quality customer service, the full-time Virginia Pharmacy Prior Authorization Coordinator will manage calls from members, providers, and pharmacies while processing pharmacy benefit prior authorization requests remotely from Virginia or Florida.

Key Responsibilities

• Review and process pharmacy prior authorization requests using established guidelines
• Verify member eligibility and pharmacy benefit coverage
• Communicate PA status updates to members, providers, and pharmacies

Required Qualifications

• High School Diploma or GED strongly preferred
• Certified Pharmacy Technician (CPhT) preferred
• 1 year of healthcare experience required
• Experience in pharmacy, prior authorization, or call center highly preferred