Pharmacy Benefits Support Specialist

Maintains understanding of all policies and procedures related to the pharmacy benefit. Provides the highest level of customer service and support to members and physicians. Adheres to all regulatory standards. Works with Pharmacists to resolve clinical issues with providers in a timely manner. Documents accurately all inquiries and prior authorization requests according to departmental policy. Determines appropriateness of pharmacy benefits under corresponding lines of business. Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters. Updates current pharmacy benefits and serves as a facilitator to team members. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #J-18808-Ljbffr