Job Summary

Depending on assigned area of expertise, the pharmacist will perform a variety of duties, including performing extensive literature review for the development of criteria for management of the pharmacy benefit, administering the pharmacy benefit in conjunction with the Health Plan Pharmacy Customer Service team members, delivering continuous, high quality member care while maximizing member satisfaction and managing appropriate utilization, among others duties assigned.
Job Duties


+ Act as a liaison between the Health Plan and its customers with respect to pharmaceutical benefits.

+ Serves as formulary expert for all lines of business and associated benefit designs.

+ Supports internal operations in their duties to provide information to our customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed.

+ Supports prior authorization representatives in their duties r...