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About the role
Key responsibilities & impact- perform a variety of duties including extensive literature review for development of pharmacy benefit criteria
- administer pharmacy benefit with Health Plan Pharmacy Customer Service team
- deliver high quality member care while maximizing satisfaction
- act as liaison between Health Plan and customers regarding pharmaceutical benefits
- support operations by providing information on pharmacy and medical drug benefits
- perform medical necessity reviews for formulary exceptions and prior authorizations
Requirements
What you’ll need- Bachelor's Degree-Pharmacy (Required)
- Licensed Pharmacist (Pennsylvania) within 90 days
- State of Pennsylvania
Benefits
Comp & perks- healthcare benefits for full time and part time positions from day one
- vision
- dental
- benefits for domestic partners
- atmosphere of collaboration, cooperation and collegiality
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
literature reviewpharmacy benefit administrationmedical necessity reviewsformulary exceptionsprior authorizations
Soft Skills
member carecustomer satisfactionliaisoncommunication
Certifications
Bachelor's Degree in PharmacyLicensed Pharmacist (Pennsylvania)
