Job Details

A company is looking for a Pharmacy Resolution Specialist who will handle inquiries related to pharmacy benefits and prior authorizations.Key ResponsibilitiesReceive and respond to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requestsLog, track, and resolve inquiries and complaints while adhering to regulatory and corporate guidelinesMaintain expert knowledge of pharmacy benefits and formularies, ensuring compliance with CMS regulationsRequired QualificationsHigh School Diploma or GED1 year of job-specific call center or customer service experienceAuthorized to work in the U.S. without the need for employment-based visa sponsorshipAvailability to work from 9:30 AM to 6:00 PM EST