Pharmacy Provider Liaison

VirtualVocations; City of Yonkers (NY); Remote; USD 60,000 - 85,000; Full time

Job summary

A leading company is seeking a Pharmacy Provider Liaison to enhance communication between healthcare providers and corporate health plans. The role involves resolving claims issues and reviewing Prior Authorization requests to optimize patient care. Candidates should ideally hold a Bachelor's degree in a related field coupled with over 3 years of relevant experience.

Qualifications

• 3+ years of combined experience in public relations (healthcare/medical) and pharmacy-related fields.
• Knowledge of managed care, Medicare, or Medicaid is preferred.
• CPhT license and valid driver's license required.

Responsibilities

• Act as liaison between providers, Health Plans, and Corporate to resolve claims issues.
• Communicate with internal departments to ensure positive outcomes for members and providers.
• Review Prior Authorization requests and tailor alternative sites based on member location.

Skills

Public Relations

Healthcare Knowledge

Communication

Education

Bachelor's Degree in Healthcare-related Field

Job description

A company is looking for a Pharmacy Provider Liaison to assist providers and members with healthcare personnel administered drug services. Key Responsibilities Act as a liaison between providers, Health Plans, and Corporate to resolve provider physician injectable claims issues Communicate with internal departments to ensure positive outcomes for members and providers Review Prior Authorization requests and tailor alternative sites based on member location and available providers Required Qualifications Bachelor's degree in a healthcare-related field preferred 3+ years of combined public relations (healthcare / medical) and pharmacy-related experience Knowledge of healthcare, managed care, Medicare, or Medicaid preferred CPhT license preferred Valid driver's license required (Remote - No travel)

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