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Tennessee Licensed Clinical Pharmacy Specialist

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Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Oct 27, 2026
This job expires in: 14 days

Job Summary

Supporting Commercial and Exchange coverage review activities, the full-time Tennessee Licensed Clinical Pharmacy Specialist will manage cases, collaborate with healthcare providers, and ensure timely access to pharmacy benefits in a remote environment.

Key responsibilities
  • Enter authorizations and test claims into the pharmacy benefit system for proper claim adjudication
  • Assist providers and members with coverage determinations and appeals through phone and email communications
  • Review daily pharmacy reports and participate in departmental audits and quality improvement activities
Required qualifications
  • High School Diploma or equivalent
  • 2 years of pharmacy experience required
  • National Certification as Pharmacy Technician (PTCB)
  • Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint)
  • Experience with Medicare, Medicaid, retail pharmacy, or managed care settings preferred

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