State Licensed Appeals Pharmacist Supervisor

Job Summary

A company is looking for a Supervisor, Appeals Pharmacist.

Key Responsibilities

• Supervise a team of appeal pharmacists and technicians, overseeing administrative prior authorization functions
• Support training and onboarding of staff, and investigate escalated issues from clients and providers
• Perform clinical pharmacy functions, including prior authorization reviews and managing compliance risks

Required Qualifications

• Doctor of Pharmacy (Pharm.D.) or Bachelor of Pharmacy degree from an accredited program
• Active unrestrictive pharmacist license
• 2 years of clinical pharmacist experience in a Pharmacy Benefit Management (PBM) setting
• 1+ year of experience with Commercial and/or Medicare appeals
• Strong understanding of pharmacy benefit management processes