Pharmacy Resolution Specialist

Job Summary

A company is looking for a Pharmacy Resolution Specialist to manage inquiries and resolve issues related to pharmacy benefits.

Key Responsibilities

• Receive and respond to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requests
• Log, track, and resolve inquiries while adhering to regulatory and corporate guidelines
• Maintain expert knowledge of pharmacy benefits and assist with prior authorization and coverage determination processes

Required Qualifications

• High School Diploma or GED
• 1 year of job-specific call center or customer service experience
• Pharmacy experience is strongly preferred
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship
• Availability to work from 9:30 AM to 6:00 PM EST