Pharmacy Specialist I
Horizon Blue Cross Blue Shield of New Jersey(3 days ago)
About this role
This role supports pharmacy benefit services by handling prior authorization requests, facilitating communication with members, providers, and pharmacies, and ensuring compliance with regulations. The position involves evaluating medical necessity, managing administrative tasks, and contributing to clinical programs within a healthcare insurance environment.
Required Skills
- Pharmacy
- Communication
- Regulations
- Customer Service
- Clinical Knowledge
- Claims Adjudication
- Medical Terminology
- NDC
- Managed Care
- Problem Solving
About Horizon Blue Cross Blue Shield of New Jersey
horizonblue.comHorizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance quotes online from Horizon BCBSNJ website, an independent licensee of the BCBS Association.
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