Florida Licensed Pharmacy Specialist

Job Summary

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

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 and corporate guidelines
• Maintain expert knowledge of pharmacy benefits and formularies, ensuring compliance with CMS regulations

Required Qualifications

• High School Diploma or GED
• 1 year of experience in a call center or customer service role
• Authorization to work in the U.S. without the need for employment-based visa sponsorship
• Ability to work from 9:30 AM to 6:00 PM EST
• Knowledge of pharmacy and medical benefits is preferred