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Job Summary:
- Support pharmacy benefit operations by coordinating clinical and administrative workflows.
- Review documentation and communicate with members, providers, and internal stakeholders.
- Ensure accurate and compliant processing of pharmacy benefit requests.
Duties & Responsibilities:
- Collect and document clinical information, assist pharmacists with utilization management.
- Process pharmacy claims, resolve adjudication issues, and maintain case documentation.
- Communicate authorization status and support formulary management initiatives.
Required Skills and Abilities:
- Excellent communication and interpersonal skills, with ability to multi-task.
- Proficient in Microsoft Office Suite and PBM experience preferred.
- Active certified pharmacy technician (CPhT) required.
Benefits:
- 401(k) with matching, dental, health, and vision insurance.
- Health savings account and paid time off.
- Growth opportunities and supportive culture.
The OccuNet Company
We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.