A company is looking for a Coverage Determination Analyst to support the Prior Authorization Review Team.
Key Responsibilities
- Enter patient, prescription, pharmacy, prescriber, and PA information into PBM systems
- Review prior authorization requests and communicate with physician offices for missing information
- Finalize requests and respond to inquiries regarding PA requests
Required Qualifications
- Pharmacy experience in retail or call center settings
- Prior authorization knowledge and experience
- Strong phone skills for outbound provider communications
- Data entry experience with strong attention to detail
- Pharmacy Technician license or certification (preferred)
