• Pharmacy Benefits Specialist (Pharmacy Advantage, Specialty) - Rochester Hills, MI

    Posted: 04/27/2021



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    Job Description


    The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.

    EDUCATION & EXPERIENCE:

    • Requires a High school diploma or G.E.D.
    • Associates degree preferred.
    • Requires State of Michigan Pharmacy Technician License
    • Requires a minimum of two years of previous pharmacy technician experience.
    • Previous experience as a specialty pharmacy technician preferred.
    • Knowledge in the specialty disease states (Oncology, Autoimmune Disease, Neurology, Hepatology, other miscellaneous Specialty Diseases) preferred.
    • Knowledge of benefits investigation, prior authorization support, and patient financial assistance work preferred.
    • Requires a strong understanding and knowledge of medical/clinical and pharmacy terminology. 
    • EMR systems (Epic or Cerner), dispensing systems (McKesson Enterprise, QS1, or RX30) and specialty pharmacy patient management programs (Asembia-1, Therigy, or Dromos PTM) experience is preferred.

    Equal Employment Opportunity/Affirmative Action Employer

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Asian Pacific American Chamber of Commerce (APACC)

 PO Box 54, Clawson, MI 48017

 248. 430.5855

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