A company is looking for a Remote PBM Benefits Consultant with prior PBM experience.
Key Responsibilities
Provide administrative support for Prior Authorization and serve as a Subject Matter Expert
Collaborate with internal and external departments to enhance understanding of programs and processes
Assist in leading meetings, training, and documentation related to Prior Authorization systems
Required Qualifications
3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
Experience with Prior Authorization system setup
Familiarity with CAS and/or MedHOK systems
Experience with Prior Authorization and Appeals activities
Previous project management experience is preferred
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