Pharmacy Pricing Appeals ManagerVirtualVocations • Grand Rapids, Michigan, United States
Pharmacy Pricing Appeals Manager
VirtualVocations • Grand Rapids, Michigan, United States
[job_card.variable_days_ago]
[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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