BioPlus Specialty Pharmacy
The Utilization Management Representative II manages incoming calls and post-service claims work to determine contract and benefit eligibility, providing authorizations for various healthcare services. This role involves conducting clinical screenings, verifying benefits, and acting as a liaison between Medical Management and internal departments to support patient care coordination. The position requires strong communication and analytical skills to handle high-volume requests in a healthcare setting.
Headquarters
Altamonte Springs, Florida, United States
Company Size
201-500 employees
Founded
1989
BioPlus Specialty Pharmacy is a specialty pharmacy that helps patients access and manage complex, high-cost medications for chronic and rare conditions. It provides high-touch services — including medication management, benefits investigation and prior-authorization support, adherence programs, financial-assistance navigation, and home delivery — through clinically trained pharmacists and care teams. BioPlus works closely with providers to coordinate care and optimize outcomes while simplifying medication access. The pharmacy operates as part of the Carelon family of companies, leveraging broader pharmacy and payer resources.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for BioPlus Specialty Pharmacy.
BioPlus Specialty Pharmacy didn’t post a salary, so this is our estimate from similar listings.
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