Pharmacy Specialist l

Horizon Blue Cross Blue Shield of New Jersey(1 month ago)

RemoteFull TimeMedior$44,600 - $59,745Pharmacy Services

About this role

This role at Horizon Blue Cross Blue Shield of New Jersey processes prior authorization requests and supports pharmacy services functions within the health plan. The position ensures regulatory compliance, assists with medication therapy management and reporting, and coordinates with pharmacists, physicians, and members. It focuses on delivering accurate member support and maintaining departmental quality metrics.

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Required Skills

Prior Authorization
Customer Service
Clinical Review
Claim Adjudication
Medication Therapy Management
Communication
Time Management
Fraud Detection
Data Entry
Medical Terminology

Qualifications

High School Diploma/GED
National Pharmacy Technician Certification (PTCB or ExCPT)

About Horizon Blue Cross Blue Shield of New Jersey

horizonblue.com

Horizon 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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