Pharmacy Resolution Specialist

Job Summary

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

Key Responsibilities

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

Required Qualifications

• High School Diploma or GED
• 1 year of job-specific call center or customer service experience
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship
• Ability to work from 2:00 PM to 10:30 PM EST
• Knowledge of pharmacy and medical benefits preferred