Pharmacy Resolution Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Pharmacy Resolution Specialist who
will handle inquiries related to pharmacy benefits and prior
authorization requests.
Key Responsibilities
Responds to calls from members, providers, and pharmacies regarding
benefit questions and prior authorization requests
Logs and tracks inquiries and complaints, ensuring compliance with
regulatory guidelines and performance standards
Maintains expert knowledge of pharmacy benefits and formulary
regulations, while assisting with special projects as assigned
Required Qualifications
High School Diploma or GED
1 year of experience in a call center or customer service role
Knowledge of pharmacy and medical benefits
Ability to work from 11:00 AM to 7:30 PM EST, Monday to Friday
Experience with prior authorization processes is preferred
Keywords: VirtualVocations, Apple Valley , Pharmacy Resolution Specialist, Healthcare , Vista, California
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