A company is looking for a Pharmacy Services Specialist.
Key Responsibilities
Manage prior authorization requests and communicate coverage determinations to providers and members
Assist in the maintenance of the formulary and support audits and quality checks
Investigate and resolve prescription-related grievances and support pharmacy audit functions
Required Qualifications
Minimum A.A. degree
Active Pharmacy Technician License required
At least three years of experience in a health plan or PBM performing prior authorization for drugs
Basic knowledge of medical terminology and current diagnostic and reimbursement coding
Proficiency in pharmacy computerized systems and MS Office Suite
Pharmacy Technician • Bridgeport, Connecticut, United States