Pharmacy Program Specialist in Houston, TX for Harris Health System

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Pharmacy Program Specialist

JOB SUMMARY Under the direction of the Director of Pharmacy Analytics, functions as a Pharmacy Program Specialist in the Pharmacy Analytics department. Provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers), and internal team members. Resolves outpatient pharmacy benefit coverage and prescription claim problems. Communicates drug formulary guidelines, including drug formulary alternatives, prior authorization criteria, and group/member eligibility problems. JOB SPECIFICATIONS Assist with processing medication prior authorization and appeal requests within required turn-around time. Mo

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