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Clinical Pharmacy Specialist – 2
BlueCross BlueShield of TennesseeClinical Pharmacy Specialist supporting Medicare and D-SNP coverage review activities at BCBST. Engaging with providers, managing priorities, and delivering high-quality service.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy operations, including Medicare and D-SNP coverage reviews, claims processing, and pharmacy benefit systems. Proficient in managing communications with providers and members while ensuring compliance with quality standards.
Highest-signal resume keywords
Pharmacy ExperienceNational Certification as Pharmacy Technician (PTCB)Claims ProcessingMicrosoft Office ProficiencyMedical/Pharmacy Terminology Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingPharmacy Benefit SystemPharmacy ExperienceMedical/Pharmacy Terminology Knowledge
Soft Skills
Interpersonal SkillsOrganizational SkillsDecision MakingProblem SolvingAbility to Work Independently
Tools & Technologies
Microsoft Office (Outlook, Word, Excel, PowerPoint)
Certifications & Qualifications
National Certification as Pharmacy Technician (PTCB)
Industry Keywords
MedicareD-SNPPharmacy ReviewsQuality ImprovementDepartmental Audits
About the role
Key responsibilities & impact- Support Medicare and D-SNP coverage review activities
- Enter authorizations and test claims into the pharmacy benefit system
- Handle incoming and outgoing calls from providers and members
- Monitor and answer emails and inquiries regarding pharmacy reviews
- Review daily pharmacy reports for claims processing
- Assist with departmental audits and quality improvement activities
Requirements
What you’ll need- 2 years - Pharmacy experience required
- National Certification as Pharmacy Technician (PTCB)
- Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint)
- Strong interpersonal and organizational skills
- Proven decision making and problem solving skills
- Ability to work independently and with minimal supervision
- Knowledge in Medical/Pharmacy terminology
Benefits
Comp & perks- Innovative culture fostering growth and creativity
- Tools and resources for success