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Pharmacy Services Specialist 2 - Team Lead
JOB SUMMARYThe Pharmacy Services Specialist 2 communicates with members, providers, and clients to explain Health Plan pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department policies and procedures.This position advocates on behalf of the member and serves as a liaison between the Health Plan and stakeholders to identify root causes and address concerns. In addition, the Pharmacy Services Specialist 2 serves in a leadership capacity as a subject matter expert (SME) and trainer, supporting team development and ensuring operational excellence.ESSENTIAL FUNCTIONS OF THE ROLEHelps members by phone or in writing to effective
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