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Pharmacy Pricing Appeals Manager
Pharmacy Pricing Appeals ManagerVirtualVocations • Grand Rapids, Michigan, United States
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Pharmacy Pricing Appeals Manager

Pharmacy Pricing Appeals Manager

VirtualVocations • Grand Rapids, Michigan, United States
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[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for a Manager, Pharmacy Pricing Appeals.

Key Responsibilities

Lead the review and improvement of the pharmacy pricing appeal process

Manage intake pharmacy pricing appeals and claims reviews from pharmacies or internal teams

Collaborate with pharmacies and internal teams to ensure equitable reimbursement outcomes

Required Qualifications

Bachelor's degree required

5+ years of experience in reviewing claims or payment appeals in healthcare or pharmacy

In-depth knowledge of pharmacy operations and drug pricing

Familiarity with PBMs and pharmacy reimbursement

Intermediate proficiency with Microsoft Excel, Word, and PowerPoint

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Pricing Manager • Grand Rapids, Michigan, United States

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