Pharmacy Analyst (Utilization Management) - 40 hrs/wk - Day Shift
Troy, MI 
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Posted 19 days ago
Job Description

GENERAL SUMMARY:

Responsible for handling of daily pharmacy duties such as drug claim adjudication issues, prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.

EDUCATION/EXPERIENCE REQUIRED:

High school diploma or G.E.D. equivalent required. Associate's degree preferred. A minimum of one year of previous pharmacy experience required. State of Michigan Pharmacy Technician licensure preferred. Strong understanding and knowledge of medical/clinical and pharmacy terminology. Working knowledge of personal computers, and business software such as Microsoft Office. Organizational and time management skills, as evidenced by the capacity to prioritize multiple tasks and job duties/responsibilities. Strong interpersonal communication skills and experience with interacting with customers.

Additional Information

Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
1+ years
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