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Healthcare Compliance

Pharmacist - Utilization Management: Coverage & Appeals

Job in Juneau, Juneau Borough, Alaska, 99812, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-01-02
Job specializations:
  • Healthcare
    Healthcare Compliance
  • Pharmaceutical
    Healthcare Compliance
Job Description & How to Apply Below
A healthcare provider in Juneau, Alaska, is seeking a pharmacist to review medication coverage determinations for prior authorization requests and appeals. The role involves evaluating clinical information against medical policy criteria using the Utilization Review system and making appropriate coverage decisions. Candidates should have a Bachelor's degree in Pharmacy, 1-3 years of relevant experience, and be a Registered Pharmacist. Strong communication, problem-solving, and decision-making skills are essential.
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