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Prefers a Bachelor's degree from an accredited college or university in Health Care Management, Business or Pharmaceutical Administration. This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescription plan design, ad-hoc reporting, correspondence and special projects.
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Not only do we pride ourselves on building top-notch specialists in the Marketing and Promotions field, but we also care about personal growth. Get familiar with personal duties given by upper-level management to contribute to the team effort.
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Process prior authorizations received via prior authorization help line, by evaluating the medical necessity/appropriateness for specific drugs and based on medical criteria. Requires minimum of two (2) years experience as a Pharmacy Utilization Management Specialist.
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Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development. As a Staff Auditor, Level II within the U.S. Business Audit Group, you will aid in the execution of our Audit Plan and provide audit coverage to our Retirement Strategies Audit organization.
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