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Highmark Health

Pharmacist - Utilization Management: Coverage & Appeals

Highmark Health, Atlanta, Georgia, United States, 30383

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A healthcare company in Atlanta is seeking a skilled professional to review medication coverage determinations for prior authorization requests. The successful candidate will evaluate clinical information, ensure claims are appropriately routed, and work within the Utilization Review system. A Bachelor's degree in Pharmacy and a Registered Pharmacist certification are required, along with 1 - 3 years of pharmacy experience. Strong communication and problem-solving skills are essential for this role, which offers a competitive salary range from $67,500 to $126,000 annually. #J-18808-Ljbffr