Clinical Pharmacy Specialist – 2

Job not on LinkedIn

🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of BlueCross BlueShield of Tennessee

BlueCross BlueShield of Tennessee

5001 - 10000 employees

Founded 1952

⚕️ Healthcare Insurance

Healthcare Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Support Medicare and D-SNP coverage review activities • Enter authorizations and test claims into the pharmacy benefit system • Handle incoming and outgoing calls from providers and members • Monitor and answer emails and inquiries regarding pharmacy reviews • Review daily pharmacy reports for claims processing • Assist with departmental audits and quality improvement activities

🎯 Requirements

• 2 years - Pharmacy experience required • National Certification as Pharmacy Technician (PTCB) • Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint) • Strong interpersonal and organizational skills • Proven decision making and problem solving skills • Ability to work independently and with minimal supervision • Knowledge in Medical/Pharmacy terminology

🏖️ Benefits

• Innovative culture fostering growth and creativity • Tools and resources for success

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