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Pharmacy Benefit Coord
JOB SUMMARYThe Pharmacy Benefit Coordinator serves in a key role in the development, implementation and management of comprehensive and effective pharmacy programs and benefits. Heads 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. Runs 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.Oversees urgent and complex adjudication and processing issues including research, analysis, identification of r
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