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Kelsey-Seybold Clinic

Pearland, Texas

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Cedars-Sinai Medical Center

Los Angeles, California

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Bedford, Massachusetts

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Dallas, Texas

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Lexington, Kentucky

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Pacific Medical Centers

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Baylor Scott & White Health

Dallas, Texas

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Edgewood, Washington

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Brookings, South Dakota

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Crestwood, Missouri

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Fullerton, California

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WALGREENS

Manhattan, Kansas

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West Columbia, South Carolina

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PeaceHealth St Joseph Medical Center, Bellingham, WA

Bellingham, Washington

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Marlton, New Jersey

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Seattle, Washington

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Texas Children's Hospital PGY2 Pharmacy Informatics

Houston, Texas

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WALGREENS

Mounds View, Minnesota

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Pharmacy Services Specialist 1
JOB SUMMARYThe Pharmacy Services Specialist 1 communicates with members, providers and clients to discuss benefits of the Health Plan Pharmacy services, makes determinations and enters prior authorizations based on criteria met and resolves claims processing and eligibility issues while following department policies and procedures. Works on the customer?s behalf, as well as, being a liaison of the Health Plan to find root cause issues to address concerns that are brought forward by the customer. ESSENTIAL FUNCTIONS OF THE ROLEAssists customers, by phone or through written correspondence, to satisfactorily solve claims processing issues for all Health Plan lines of business, utilizing the pharmacy claims processing system and all other appropri


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