Role Description The Pharmacy Prior Authorization Coordinator delivers high-quality customer service by managing calls from members, providers, and pharmacies while processing pharmacy benefit prior authorization (PA) requests with accuracy and compliance. Working under general supervision, the Coordinator uses established protocols, business systems, and clinical guidelines to: - Analyze requests - Enter data for claims adjudication - Determine appropriate actions such as approval, pending, or referral This role requires strong reasoning and communication skills to ensure timely, efficient, and consistent service delivery in collaboration with internal teams and external partners. 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 - Identify and resolve missing or incomplete information - Ensure requests are completed within required turnaround times (TAT) and performance guarantees - Document PA decisions clearly and accurately - Collaborate with internal pharmacy teams to resolve inquiries - Maintain confidentiality and data security at all times This position requires strong attention to detail, critical thinking, and excellent communication skills to deliver consistent, high-quality service in a fast-paced environment. Qualifications - High School Diploma or GED strongly preferred - Certified Pharmacy Technician (CPhT) preferred - 1 year healthcare experience REQUIRED - Pharmacy OR Prior Authorization or Call Center experience highly preferred Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - 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 – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - 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 if established system and employee eligibility criteria is met

Role Description We are seeking a Clinical Pharmacist with over 5 years of experience to join our primary care organization. You will play a critical role in improving patient outcomes through effective medication management, patient education, and collaboration with our healthcare team. The role requires strong critical thinking skills and the ability to use clinical judgment to make informed decisions about patient care. You will report to the Associate Director Integrated Clinic Pharmacist. This is a remote position. Candidates MUST be located in Florida and will work remote. Role Specific Responsibilities - Use evidence-based medicine and clinical judgment to evaluate the suitability of pharmacotherapy for high-risk patients with chronic conditions, including diabetes, hypertension, heart failure, and COPD. - Execute clinical protocols as allowed per organization and state regulatory agencies. - Optimization of drug coverage benefits for appropriate care and reduced costs (preferred formulary products, lower cost alternatives, and home delivery pharmacy). - Collaborate with physicians, nurses, and other healthcare professionals to optimize patient care. - Participate in high-risk rounds with a multi-disciplinary team to discuss patient progress and adjust treatment plans. - Excellent patient counseling skills and the ability to communicate complex medical information to patients and healthcare providers. - Disease state education for patients on appropriate use of medications and self-management. - Engage in quality improvement initiatives aimed at enhancing medication safety and efficacy. - Post-discharge medication reconciliation for high-risk transition of care patients. - Document all activity within clinic EMR and other required pharmacy or clinical management systems. - Support CMS Stars and HEDIS quality measures for successful clinic performance. - Maintain accurate documentation of clinical interventions and patient care activities. - Conduct in-service education and training sessions for healthcare staff and develop and share educational materials related to pharmacotherapy. - Stay current with advancements in pharmacotherapy and clinical guidelines. - Provide consultation to healthcare providers on complex medication management issues. - Respond to additional requests from the Primary Care Organization, providing support within the pharmacist's defined scope of practice to advance organizational goals. - Address and implement targeted initiatives or priorities as directed by the National Director or Associate Directors of Pharmacy, according to best practices and regulatory standards. Qualifications - Active and unrestricted Florida pharmacist license. - Willingness to become licensed in additional states for market support. - Pharm.D. or other advanced pharmacy degree. - 5+ years' experience as a practicing pharmacist. - Experience working in a team environment and supporting common goals. Requirements - Clinical residency in ambulatory care or similar discipline (preferred). - 2+ years working in an ambulatory care/primary practice setting (preferred). - Board certification in geriatric pharmacy or pharmacotherapy (preferred). - Familiarity with electronic medical record (EMR) systems (preferred). - Ability to identify and implement solutions for improved efficiencies and outcomes (preferred). - Multilingual (preferably English/Spanish) (preferred). Benefits - Medical, dental, and vision benefits. - 401(k) retirement savings plan. - Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave). - Short-term and long-term disability. - Life insurance. - Many other opportunities. Company Description CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more. Our unique care model focuses on personalized experiences, taking time to listen, learn, and address the factors that impact patient well-being. CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive, and, most of all, personalized.

• Accurately and efficiently enter new or renewed orders • Adjudicate insurance claims and resolve rejections • Properly handle order exceptions and clarifications such as refill-too-soon, invalid orders, etc. • Communicate effectively with leadership and peers • Achieve or exceed productivity standards in a fast-paced environment

• Ensure Patient Outreach Coordinators consistently communicate with patients compliantly and convey the culture of kindness and value of the hospital-based pharmacies. • Coach Patient Outreach Coordinators on calling best practices, conversational techniques. • Complete audits of team in DialPad, TelemetryRX application, Electronic Medical Records. • Manage all aspects of ADP, PTO, and Time Reports for team members. • Provide front line supervision and ongoing coaching and performance management to Patient Outreach Coordinators. • Report on hiring needs based on implementation roll outs.