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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: 29 days

Job Summary

Supporting Commercial and Exchange coverage review activities, the full-time remote Tennessee Licensed Clinical Pharmacy Specialist will manage authorizations, assist with coverage determinations, and collaborate with healthcare providers to enhance member care and health outcomes.

Key responsibilities
  • Enter authorizations and test claims into the pharmacy benefit system for accurate claim adjudication
  • Handle communications with providers and members to assist in completing coverage determinations and appeals
  • Review daily pharmacy reports and assist with 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)
  • Knowledge in medical/pharmacy terminology

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