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Highmark Health

Pharmacist - Utilization Management: Coverage & Appeals

Highmark Health, Albany, New York, United States

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A healthcare company based in Albany is looking for a coverage determination specialist to review prior authorization requests for medication. The role requires evaluating clinical information against medical policy using a Utilization Review system. A Bachelor's degree in Pharmacy and registration as a pharmacist are mandatory. Candidates should have 1-3 years of experience in Pharmacy and possess strong problem-solving and communication skills. The pay range is between $67,500 and $126,000 annually. #J-18808-Ljbffr