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Pharmacy Patient Advocate-Health Plan
Job Summary This position supports the Pharmacy Department in processing pharmacy prior authorization (PA) requests in an accurate and timely manner. Clinical decision making is performed using approved guidelines. Supports the internal and external customers of the Health Plan including members, providers, contracted pharmacies, case managers, medical prior authorization staff, and the customer care staff by addressing issues pertaining to pharmacy and providing pharmacy data as requested. Performs ad hoc reporting on pharmacy claims data as requested. Responsible for performing activities and functions in accordance with policies and procedures under the immediate supervision of a pharmacy technician supervisor, a pharmacist, and/or medical direct


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