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Pharmacy Benefit Coordinator (Health Plan)
JOB SUMMARYThe Pharmacy Benefit Coordinator serves in a key role in the development, implementation and management of comprehensive and effective pharmacy programs and benefits. Leads clinical and compliance monitoring of all aspects of pharmacy benefit management (PBM) and operational areas, including claim adjudication and benefit analysis, pharmacy benefit implementation and documentation for specific lines of business. Leads workgroups and projects as assigned.ESSENTIAL FUNCTIONS OF THE ROLEActs as a Subject Matter Expert (SME) for specific lines of business as related to pharmacy benefit programs and operations.Responsible for urgent and complex adjudication and processing issues including rese


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