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Pharmacy Operations Support Specialist at Lumeris - ApplyBlast

Pharmacy Operations Support Specialist

Lumeris

5 months ago

3.0 on Glassdoor

Remote

Full Time

Junior

0 applicants

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About this role

Pharmacy Operations Support Specialist at Lumeris performs duties in Medicare Part D rejected claims management, formulary management, pharmacy prior authorizations, and support for Medicare Part D call center team members.

Responsibilities

Reviews rejected pharmacy claims for appropriateness
Becomes a pharmacy claims processing subject matter expert and triages claims issues
Becomes subject expert with Medicare Part D policies and procedures
Reviews transition claims reports
Interacts with the pharmacy benefits manager, pharmacies, prescribers, and members to ensure appropriate and timely member access to prescription drugs

Skills

Qualifications

Current Certified Pharmacy Technician License in good standing1+ years Pharmacy Technician or retail pharmacy experienceStrong planning, time management, and organizational skillsTeam player with a positive attitudeStrong professional verbal and written communication skills

About Lumeris

lumeris.com

Headquarters

Maryland Heights, Missouri, United States

Company Size

1001-5000 employees

Founded

2012

View Profile

Lumeris is a physician-founded, AI-powered healthcare transformation company dedicated to improving primary care through its AI-powered Primary Care as a Service platform, Tom™. The company partners with health systems, physician groups, and payers to deliver scalable, coordinated, value-based care that improves patient outcomes and financial performance. Lumeris serves over 1.2 million lives across commercial, Medicare, Medicaid, and value-based arrangements, leveraging 15+ years of healthcare transformation experience.