Pharmacy Benefits Management Professional

5 hours ago


Cleveland, Queensland, Australia beBeePharmacyBenefits Full time US$23,422 - US$161,000
Job Summary:

The Pharmacy Benefits Specialist II role involves monitoring and providing oversight of Pharmacy Benefit Manager activities, including daily monitoring of coverage determinations, denied claims, hospice, and end-stage renal disease claims.

As a Subject Matter Expert for pharmacy benefits, you will serve as a key resource for internal and external customers, researching identified issues and working to resolve them in a timely manner.

You will support the development, testing, and implementation of market-competitive, cost-effective, quality-based drug benefits that meet applicable federal and state regulatory requirements.

This is an excellent opportunity for a skilled professional to make a meaningful impact in the field of pharmacy benefits management.



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