Pharmacy Operations Support Specialist - St. Louis, Mo
Lumeris · US
Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's wh...
Job description
Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Pharmacy Operations Support Specialist - St. Louis, Mo Position Summary: Performs duties in one or more of the following areas: Medicare Part D rejected claims management, formulary management, pharmacy prior authorizations, and assist Medicare Part D Customer Service call center team members. Job Description: Primary Responsibilities - Reviews rejected pharmacy claims for appropriateness. - Becomes a pharmacy claims processing subject matter expert and triages claims issues. - Becomes subject expert with Medicare Part D policies and procedures. - Reviews transition claims reports. - Interacts with the pharmacy benefits manager, pharmacies, prescribers, and members to ensure appropriate and timely...