Pharmacy Resolution Specialist

A company is looking for a Pharmacy Resolution Specialist who will handle inquiries related to pharmacy benefits and prior authorization requests.

Key Responsibilities

Receive and respond to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requests

Log, track, and resolve inquiries and complaints while adhering to regulatory guidelines and performance standards

Maintain expert knowledge of pharmacy benefits and formularies to ensure accurate information is provided

Required Qualifications

High School Diploma or GED

1 year of job-specific call center or customer service experience

Understanding of pharmacy and medical benefits

Ability to work within specified hours (9 : 30 AM - 6 : 00 PM EST)

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship