Horizon Blue Cross Blue Shield of New Jersey seeks a Pharmacy Technician to handle prior authorization requests from physicians, pharmacies, and members. You will evaluate medical necessity against clinical criteria and coordinate with Pharmacy Services to support benefit design and claim issues.
Responsibilities include telephonic interactions with providers, processing ad hoc reports, ensuring service quality metrics, detecting potential fraud, waste and abuse, and supporting Medication
#J-18808-LjbffrPharmacy Authorization & Benefits Specialist in newark at Unknown Company
This position is listed as full time and onsite.