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

• Responds to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requests
• Researches issues and resolves inquiries while adhering to regulatory and corporate guidelines
• Maintains knowledge of pharmacy benefits and assists with special projects as assigned

Required Qualifications

• High School Diploma or GED
• At least 1 year of job-specific call center or customer service experience
• Must be authorized to work in the U.S. without employment-based visa sponsorship
• Ability to work 11AM-7:30PM EST Monday-Friday
• Knowledge of pharmacy and medical benefits is preferred