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Pharmacy Grievance Manager

9/20/2025

No location specified

Job Summary

A company is looking for a Manager of Grievance and Appeals.

Key Responsibilities
  • Ensure daily workload standards and metrics are met
  • Provide day-to-day leadership and support for department staff
  • Oversee clinical determinations made by departmental clinical staff and manage resources that support G&A staff
Required Qualifications
  • Bachelor's Degree in Pharmacy or Pharm D; current, unrestricted licensure as an RPh required
  • 3-5 years of managed care and/or insurance background preferred
  • 1-3 years of leadership experience preferred
  • Knowledge of the PBM industry and clinical trial evaluation required
  • Proficiency in MS Word, Excel, and PowerPoint preferred

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