We are looking for a strategic Pharmacy specialist to join our high calibre team at Collabera in Newark, NJ.
Growing your career as a Full-Time Pharmacy specialist is an amazing opportunity to develop necessary skills.
If you are strong in negotiation, leadership and have the right experience for the job, then apply for the position of Pharmacy specialist at Collabera today!
100% Remote for NJ candidate with NJ Active license
- Responsibilities:
- Process prior authorizations received via helpline, evaluating medical necessity for specific drugs based on medical criteria.
- Interact with members, physician office staff, pharmacies, and internal stakeholders for eligibility, coverage determination, and claims issues.
- Conduct interventions to promote formulary compliance and generic dispensing.
- Process appeals, complaints, executive inquiries, and compliance-related issues.
- Provide recommendations to improve department efficiency, accuracy, and productivity. Assist in day-to-day pharmacy department functions and Medication Therapy Management program.
- Support various clinical programs within the pharmacy department.
- Participate in client, member, and employee training on pharmacy services programs and operations.
- Education Qualification:
- Bachelor's degree in Health Care Management, Business, or Pharmaceutical Administration preferred.
- Minimum of two (2) years of experience in third party prescription program claim adjudication.
- Minimum of two (2) years of experience as a Pharmacy Utilization Management Specialist. Prior customer service or service quality initiative experience is required.
Benefits of working as a Pharmacy specialist in Newark, NJ:
● Career Growth Potential
● Professional Development Opportunities
● Advantageous package
Salary :
No CV Required
How to get there?
Your email job alert is now active!