Pharmacy Benefit & Claims Analyst

Henry Ford Health; Troy (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

Henry Ford Health in Detroit (MI) is seeking a Pharmacy Analyst to help resolve drug claim adjudication issues, manage prior authorization, and handle pharmacy benefit inquiries. This role supports members, patients, physicians, pharmacies, and internal teams to ensure seamless medication access.

Ideal candidates have a high school diploma or GED, at least one year of pharmacy experience, solid knowledge of medical and pharmacy terminology, and strong communication and organizational skills to

Qualifications

• Minimum of one year of previous pharmacy experience.
• Strong understanding of medical/clinical and pharmacy terminology.
• Working knowledge of personal computers and Microsoft Office.
• High school diploma or G.E.D. equivalent.
• Organizational and time management skills to prioritize multiple tasks.
• Strong interpersonal communication skills and customer interaction experience.

Responsibilities

• Resolve drug claim adjudication issues and prior authorization requests.
• Handle pharmacy benefit inquiries from members, patients, physicians, and pharmacies.
• Coordinate prior authorization and exception processes as a subject matter expert.
• Ensure accurate and timely resolution of pharmacy benefit coverage issues.
• Collaborate with internal and external stakeholders to provide exceptional service.

Skills

Pharmacy experience

Medical terminology

Interpersonal communication

Time management

Education

High school diploma

Tools

Microsoft Office

Job description

Henry Ford Health in Detroit (MI) is seeking a Pharmacy Analyst to help resolve drug claim adjudication issues, manage prior authorization, and handle pharmacy benefit inquiries. This role supports members, patients, physicians, pharmacies, and internal teams to ensure seamless medication access.

Ideal candidates have a high school diploma or GED, at least one year of pharmacy experience, solid knowledge of medical and pharmacy terminology, and strong communication and organizational skills to