New Jersey Licensed Pharmacy Specialist

Job Summary

A company is looking for a Pharmacy Specialist I.

Key Responsibilities:

• Manage telephonic interactions regarding Pharmacy eligibility, coverage determination, and claim issues
• Engage with healthcare professionals to facilitate formulary compliance and optimize dispensing practices
• Process prior authorization requests and ensure compliance with regulatory turnaround times

Required Qualifications:

• High School Diploma/GED required
• Minimum of two (2) years experience as a Pharmacy technician
• Preferred minimum of two (2) years experience in third party prescription program claim adjudication
• Prior customer service experience required
• National Pharmacy Technician Certification (PTCB or ExCPT) required or five (5) years relevant pharmacy experience in managed care