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Pharmacy Benefit Specialist II
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$45,850 - $55,500 a year
Full-time
- Core responsibilities include customer service, claims processing, prior authorizations, formulary exceptions, appeals, grievances, and project participation.
- Follow policies and procedures to determine a resolution to pharmacy claims adjudication issues or triage to other CareOregon staff for assistance.
- Perform data entry into the claims processing system, document management systems, databases and spreadsheets as assigned.
- Follow policy & procedures to facilitate a resolution for prior authorization, formulary exception and coverage determinations requests.
- Notify members, providers or providers staff of prior authorization and formulary exception decisions.
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