Pharmacy Benefits Management Specialist
4 days ago
We are looking for a skilled Pharmacy Benefits Management Specialist to join our team. As a PBM Specialist, you will be responsible for handling prior authorization requests from members and providers, utilizing the PAHub, RxClaim Pro, or Five9 software. You will also assist with resolving third-party and pharmaceutical claim rejections. This is a challenging and rewarding role that requires strong analytical and problem-solving skills.
Key Responsibilities:- Handling prior authorization requests from members and providers
- Assisting with resolving third-party and pharmaceutical claim rejections
- Promptly resolving escalated pharmacy benefit issues and customer service calls
Requirements:
- 2 years of working knowledge and experience as a CPhT Pharmacy Technician in a PBM environment
- High School Diploma or GED
- Must be a Certified Pharmacy Technician (CPhT)
- Experience with PAHub, RxClaim Pro, or Five9 software
What We Offer:
- A competitive salary of $65,000 - $90,000 per year, depending on experience
- The opportunity to work in a dynamic and growing company
- A chance to make a real difference in the lives of our clients
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