Pharmacist, Utilization Management: Shape Coverage Decisions

A healthcare insurance company is seeking a professional to review and determine requests for medication coverage. The role requires evaluating clinical information provided by physicians against medical policies, conducting independent research as needed, and ensuring proper claims management. Candidates should have a Bachelor's degree in Pharmacy and 1-3 years of relevant experience. This position is office-based, with responsibilities including updating system records and making determinations on appeals.

The salary range is competitive, between $67,500 and $126,000.
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