Pharmacy Specialist

Pharmacy SpecialistThe Pharmacy Specialist will use clinical experience and knowledge to apply drug coverage protocols to prior authorization requests. This position will process calls regarding drug therapy, prescription drug program benefit design inquiries, and prior authorization requests received from health care providers. The Pharmacy Specialist will enter prior authorization decisions into the pharmacy benefit manager's claims adjudication software to enable appropriate pharmacy claims processing. Individuals must possess clinical expertise with the ability to adapt to various therapeutic situations and provide accurate, concise, and relevant information quickly.Qualifications:Pharm D.Licensed Pharmacist in Arkansas.PGY1 residency training OR 3 years of applicable experience.Knowledge, Skills & Abilities:Must be proficient with Microsoft Office suite.Able to work independently, and have good communication skills.Operating knowledge of SAS, Enterprise Guide, and PowerBI analytical systems is required.Responsibilities:Provides information to healthcare providers and patients regarding plan-specific pharmacy benefit design and therapeutic alternative drug choices, where appropriate, on behalf of all EBRx clients.Operate the phone queue system that receives calls from healthcare providers and patients (on occasion) involving a variety of health plans.Retrieve clinic records and completed prior authorization requests from providers, reconcile providers' information with EBRx coverage policy, and render coverage determination.Enter coverage decision into the pharmacy benefit manager's claims adjudication software system.Communicate to providers, patients, and clients, where appropriate, through the EBRx phone system, secure fax, or email system.Provide assistance, where necessary, to other call center personnel.Perform other duties as assigned.Salary Information: Salary is commensurate with education and experience.Required Documents to Apply: Curriculum VitaeOptional Documents:All application materials must be uploaded to the University of Arkansas System Career Site do not send to listed recruitment contact.