Supervisor, Appeals Pharmacist
Judi Health
Location: Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States, United States
Supervisor, Appeals Pharmacist at Judi Health in Charlotte, NC; Denver, CO; or NYC area **What you'll do** - Supervise appeal pharmacists and technicians with expanded PA responsibilities - Oversee appeal job aids and clinical denial language - Investigate and resolve escalated issues from clients and providers - Perform clinical pharmacy functions including prior authorization and appeal reviews **What they're looking for** - Expertise in prior authorization and appeals operations - Knowledge of federal, state, and regulatory standards - Ability to make clinical decisions based on medical necessity and contract criteria - Strong communication skills for interacting with providers and members **Details** - Location: Charlotte, NC; Denver, CO; or NYC area - Type: Not specified - Salary: Not specified
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