Clinical Pharmacist — Appeals & Formulary Strategy
Fallon Health
Fallon Health seeks a clinical pharmacist to review and render clinical decisions for provider and member appeals and grievances on medications across all lines of business. You will collaborate with Appeals & Grievance teams, Medical Directors, and prior authorization vendors, ensuring timely reviews and adherence to plan criteria. Role requires MA licensure, 3 years in pharmacy with managed care exposure, and strong data analysis using EMRs and MS Office tools. #J-18808-Ljbffr Fallon Health
Vacancy posted 14 hours ago
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