New Jersey Licensed Pharmacy Specialist

Job Summary

A company is looking for a Pharmacy Specialist I.

Key Responsibilities

• Manage telephonic interactions regarding Pharmacy eligibility, coverage determinations, and claim issues
• Engage with healthcare professionals to facilitate formulary compliance and optimize dispensing
• Process prior authorization requests and ensure compliance with regulatory turnaround times

Required Qualifications, Training, and Education

• High School Diploma/GED required
• Minimum of two years experience as a Pharmacy technician
• Preferred two years experience in third party prescription program claim adjudication
• National Pharmacy Technician Certification (PTCB or ExCPT) required
• Knowledge of third party prescription program claim adjudication and managed care principles