Clinical Pharmacist: Appeals & Formulary - Managed Care
Job in
Weymouth, Norfolk County, Massachusetts, 02188, USA
Listed on 2026-08-10
Listing for:
Fallon Community Health Plan, Inc.
Full Time
position Listed on 2026-08-10
Job specializations:
-
Healthcare
Job Description & How to Apply Below
Fallon Health in Worcester, MA is seeking a licensed pharmacist to review and decide on provider/member appeals and grievances related to medications across all lines of business. You will analyze pharmacy data to support utilization management and contribute to formulary development.
The role requires MA license, 3 years of experience (preferably in managed care) and strong analytical, communication, and collaboration skills.
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