Fallon Health, based in Worcester, MA, is seeking a pharmacist to review provider/member appeals and grievances for medications across all lines of business. You will analyze formulary criteria, coordinate with Medical Directors and vendors, and ensure timely reviews.
The ideal candidate has an active MA license, 3 years in a managed care setting, and strong data analysis and communication skills to support daily operations and formulary development.
#J-18808-LjbffrClinical Pharmacist, Appeals & Formulary (Managed Care) in worcester at Unknown Company
This position is listed as full time and onsite.