Massachusetts Pharmacy Operations Specialist

Job Summary

A company is looking for a Pharmacy Operations Specialist to join their team.

Key Responsibilities

• Review and process pharmacy prior authorization requests, ensuring compliance with regulations and policies
• Utilize pharmacy benefit management software to research member eligibility and claims history
• Provide customer service and support for pharmacy-related inquiries from internal and external stakeholders

Required Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred
• Minimum of two years of experience in a healthcare or pharmacy-related setting
• Experience in managed care or pharmacy benefit administration is a plus
• Proficient in handling confidential information and adhering to regulatory requirements
• Background check required prior to employment