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To support Pharmacy Services, the full-time New Jersey Licensed Pharmacy Specialist will manage prior authorization requests, engage with healthcare providers for formulary compliance, and ensure adherence to regulatory standards while working remotely.
Key responsibilities: Handle telephonic interactions regarding Pharmacy eligibility and coverage determinations Conduct clinical interventions with physicians and pharmacists to optimize medication dispensing Process prior authorization requests and maintain compliance with customer service quality metrics
Required qualifications: High School Diploma/GED required Minimum of two (2) years experience as a Pharmacy technician National Pharmacy Technician Certification (PTCB or ExCPT) required Knowledge of third party prescription program claim adjudication Understanding of New Jersey Board of Pharmacy regulations and common medical terminology

Also on the board Same function, level within a rung

Level

Mid

Location

Denver, CO

Occupation

Pharmacists

Industry

Pharmacies and Drug Retailers

Posted

yesterday

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