Pharmacy Resolution Specialist

Job Summary

A company is looking for a Pharmacy Resolution Specialist who will handle inquiries related to pharmacy benefits and prior authorization requests.

Key Responsibilities

• Receive and respond to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requests
• Log, track, and resolve inquiries and complaints while adhering to regulatory guidelines and performance standards
• Maintain expert knowledge of pharmacy benefits and formularies to ensure accurate information is provided

Required Qualifications

• High School Diploma or GED
• 1 year of job-specific call center or customer service experience
• Understanding of pharmacy and medical benefits
• Ability to work within specified hours (9:30 AM - 6:00 PM EST)
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship