Tennessee Licensed Clinical Pharmacy Specialist

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