New Jersey Licensed Pharmacy Specialist
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Job Summary
To support Pharmacy Services, the full-time New Jersey Licensed Pharmacy Specialist will manage prior authorization requests, engage with healthcare providers for formulary compliance, and ensure adherence to regulatory standards while working remotely.
Key responsibilities
- Handle telephonic interactions regarding Pharmacy eligibility and coverage determinations
- Conduct clinical interventions with physicians and pharmacists to optimize medication dispensing
- Process prior authorization requests and maintain compliance with customer service quality metrics
Required qualifications
- High School Diploma/GED required
- Minimum of two (2) years experience as a Pharmacy technician
- National Pharmacy Technician Certification (PTCB or ExCPT) required
- Knowledge of third party prescription program claim adjudication
- Understanding of New Jersey Board of Pharmacy regulations and common medical terminology
Complete Job Description
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