Pharmacy Resolution SpecialistVirtualVocations • Sacramento, California, United States

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Pharmacy Resolution Specialist

VirtualVocations • Sacramento, California, United States

[job_card.30_days_ago]

[job_preview.job_type]

[job_card.full_time]

[job_card.job_description]

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

Research and resolve issues while logging and tracking all inquiries and complaints in compliance with regulatory guidelines

Maintain expert knowledge of pharmacy benefits and formularies, and assist with special projects as assigned

Required Qualifications

High School Diploma or GED

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

Ability to work from 9am to 5 : 30pm EST

Knowledge of pharmacy and medical benefits

Familiarity with CMS regulations related to pharmacy benefits

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Resolution Specialist • Sacramento, California, United States

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