Description
The pharmacist performs various duties including conducting literature reviews for developing management criteria for the pharmacy benefit, administering the pharmacy benefit alongside the Health Plan Pharmacy Customer Service team, providing continuous high-quality member care, maximizing member satisfaction, and managing appropriate utilization. This role involves acting as a liaison between the Health Plan and its customers regarding pharmaceutical benefits, serving as a formulary expert, supporting internal operations by providing customer information on pharmacy and medical drug benefits, assisting prior authorization representatives, performing medical necessity reviews, and suggesting operational improvements.
