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Pharmacist 2

Pharmacist 2

Pacer StaffingRancho Cordova, CA, US
20 hours ago
Job type
  • Full-time
Job description

Job Description

Job Responsibilities :

  • Applies clinical knowledge of drugs to utilization reviews.
  • Provides clear and concise communications in-line with Blue Shield’s brand.
  • Understands the function of drug formulary management and strategy to promote cost savings.
  • Provides quality service to members and providers.
  • Provides pharmaceutical expertise to all internal departments as needed.
  • Meets department goals for quantity and quality reviews.
  • Works effectively to ensure compliance with laws and regulations surrounding Utilization Management.
  • Exemplifies Code of Conduct and brand reputation.
  • Provides support and guidance to less experienced team members.
  • Resolves complex issues and problems as needed.
  • Acts and works in accordance with the organization's policies and applicable laws.

Skills :

  • Excellent oral and written communication skills
  • Excellent ability with MS office applications
  • Excellent math, analytical and problem-solving skills
  • Prior experience with claims processing vendors or prior authorization interfaces strongly recommended.
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    Pharmacist • Rancho Cordova, CA, US

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