A company is looking for a Pharmacy Operations Specialist who will support pharmacy utilization management programs and provide customer service.
Key Responsibilities :
Process and review prior authorization requests in compliance with regulatory requirements
Communicate determinations to members and providers through various channels
Provide pharmacy-related customer service and support the implementation of new clinical programs
Qualifications :
High School diploma or equivalent required; Associate or Bachelor's degree preferred
Two or more years of experience in a professional or pharmacy setting
Previous experience in a managed care environment preferred
Prior customer service experience preferred
Operation Specialist • Montgomery, Alabama, United States