Massachusetts Licensed Pharmacy Specialist
Job Summary
To support pharmacy operations, the full-time Massachusetts Licensed Pharmacy Specialist will manage prior authorization requests, ensure compliance with regulatory requirements, and communicate with providers while working remotely.
Key responsibilities
- Perform full case setup and review for prior authorization requests from various sources
- Document relevant case notes and manage communications with providers to resolve inquiries
- Conduct daily quality checks and manage the Pharmacy UM team email box for compliance and process improvements
Required qualifications
- Certified Pharmacy Technician (CPhT)
- High School Diploma or GED; Associate's degree in Healthcare, Nursing, or related field preferred
- Minimum of 2 years of pharmacy experience, preferably in a managed care/PBM setting
- Proficient in MS Office applications, particularly Excel, Word, and PowerPoint
- Good working knowledge of medical terminology and ability to prioritize high volumes of requests accurately
Complete Job Description
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