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Responsibilities:
- Manage prior authorization requests and coordinate specialty medication processes.
- Liaise with pharmacies, prescribers, members, and vendors to resolve issues.
- Support single case agreements and member financial assistance.
Requirements:
- Bachelor's degree or equivalent with 5+ years of pharmacy/medical benefits experience.
- Strong understanding of specialty medications, J-codes, and prior authorizations.
- Excellent communication, organizational, and analytical skills.
Benefits:
- Fully remote role with medical, dental, vision, life and disability insurance.
- Generous PTO, tuition reimbursement, technology stipend, and EAP.
- Collaborative, fast-paced environment focused on member experience.
Partner Company
The hiring company is a healthcare organization that administers specialty pharmacy and medical benefit programs. It operates fully remotely, fostering a collaborative and customer-focused culture that prioritizes compliance, member support, and process improvement.