Healthcare Program Coordinator
2 weeks ago
Position Overview
About the Organization
At the State of Connecticut, we are dedicated to delivering outstanding healthcare solutions to our community. Our mission is to enhance the quality of life for all residents by ensuring access to comprehensive and affordable healthcare initiatives. We strive to improve the well-being of individuals and families throughout the state.
We value the health and happiness of our employees, recognizing the significance of a balanced work-life environment. In addition to competitive salaries, we offer a comprehensive benefits package, including medical, dental, and vision coverage, retirement plans, paid time off, and opportunities for professional growth.
Key Responsibilities
As a member of the Division of Health Services, Integrated Care, Pharmacy Unit, you will be instrumental in overseeing and managing various healthcare initiatives and projects.
- Accurately process pharmacy claims, including Prior Authorization, Medical Necessity reviews, and Pharmacy Client Lock-ins.
- Administer Opioid Related prescription treatments with meticulous attention to detail.
- Serve as the primary liaison for providers and members, addressing inquiries related to healthcare claims and pharmacy access.
- Effectively listen to concerns, identify the root causes of disputes, and resolve issues to ensure member satisfaction.
- Organize and maintain ongoing activities for the implementation and integration of non-clinical aspects of health programs and projects.
- Collaborate with colleagues, share innovative ideas, and maintain flexibility in scheduling to ensure consistent pharmacy coverage.
Position Details
This role is hybrid, with a standard work schedule of Monday through Friday, totaling 40 hours per week.
Selection Process
Applicants must meet the minimum experience and training requirements by the closing date of the job opening. Regular monitoring of application status is encouraged.
Job Class Purpose
This position is accountable for executing high-level work in the implementation and coordination of the non-clinical components of healthcare programs or projects.
Qualifications
Applicants should possess considerable knowledge of public health agency objectives, program planning, and evaluation methodologies. Strong communication and interpersonal skills are essential, along with the ability to analyze and interpret data effectively.
Preferred Qualifications
Experience with pharmacy claims processing systems and Opioid Related prescription treatments is highly desirable.
Equal Opportunity Employer
The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages applications from women, minorities, and individuals with disabilities.
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