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Pharmacy Benefit Coordinator
Maryland Primary Care PhysiciansPharmacy Benefit Coordinator supporting clinical outreach services to ensure member safety and improve healthcare outcomes at Maryland Care Management. Collaborating with pharmacies, healthcare providers, and internal teams.
Posted 7/17/2026full-timeRemote • Maryland • 🇺🇸 United StatesJuniorMid-Level💰 $67,000 - $72,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy benefit management, coding, and adherence to HEDIS standards while effectively collaborating with quality management and plan providers. Proficient in utilization management processes and serves as a key resource for pharmacy-related inquiries.
Highest-signal resume keywords
Maryland State Pharmacy Technician LicensurePharmacy Technician Certification Board CertificationUtilization Management ExperienceManaged Care ExperiencePharmacy Benefit Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Pharmacy CodingHEDIS AdherenceUtilization ReviewData AnalysisPharmacy Services Review
Soft Skills
CollaborationCommunicationProblem-Solving
Tools & Technologies
Pharmacy Data Systems
Certifications & Qualifications
Pharmacy Technician Certification Board Certification
Industry Keywords
Managed CarePharmacy Benefit Manager (PBM)Quality ImprovementProvider RelationsPopulation Health Initiatives
About the role
Key responsibilities & impact- Work collaboratively with quality management to support HEDIS adherence projects
- Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes
- Review pharmacy services recommended for denial and investigate data from plan providers
- Assist in the management of members by collecting pertinent information from plan providers and pharmacy data systems
- Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives
- Serve as a pharmacy liaison and resource person to plan pharmacies and members
- Assist the Pharmacist with monitoring and evaluation of pharmacy utilization
Requirements
What you’ll need- High School diploma/ GED, or equivalent
- Current Maryland State Pharmacy Technician licensure
- Certification from a nationally recognized Pharmacy Technician Certification Board
- Minimum two (2) years of experience as a pharmacy technician
- Experience working in a managed care, insurance, PBM, or equivalent environment is strongly preferred
- Experience supporting utilization management/prior authorization processes
Benefits
Comp & perks- medical, dental, and vision plans
- 100% employer Term Life Insurance
- Short and Long-Term Disability
- 401k Employer Match up to 4%
- 20 days of PTO
- tuition assistance/professional development plans