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Elizabeth Glaser Pediatric AIDS Foundation

Washington, D.C.

WaterAid

Washington , D.C.

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Seed Global Health

Boston, Massachusetts

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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Baylor Scott & White Health

Benchley, Texas

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Veterans Affairs, Veterans Health Administration

Fayetteville, Arkansas

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Veterans Affairs, Veterans Health Administration

Salisbury, North Carolina

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Veterans Affairs, Veterans Health Administration

Salem, Virginia

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Penn State Health

Camp Hill, Pennsylvania

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Yale University

New Haven, Connecticut

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CHRISTUS Health

New Braunfels, Texas

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Veterans Affairs, Veterans Health Administration

Albuquerque, New Mexico

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Penn State Health

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Tucson, Arizona

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Louisville, Kentucky

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WMC Health

Valhalla, New York

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Swedish

Issaquah, Washington

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Banner Health

Mesa, Arizona

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Birmingham, Alabama

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WMC Health

Poughkeepsie, New York

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Las Vegas, Nevada

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WMC Health

Valhalla, New York

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Pharmacy Services Specialist 1
JOB SUMMARYThe Pharmacy Services Specialist 1 communicates with members, providers and clients to discuss benefits of the Health Plan Pharmacy services, makes determinations and enters prior authorizations based on criteria met and resolves claims processing and eligibility issues while following department policies and procedures. Works on the customer?s behalf, as well as, being a liaison of the Health Plan to find root cause issues to address concerns that are brought forward by the customer. ESSENTIAL FUNCTIONS OF THE ROLEAssists customers, by phone or through written correspondence, to satisfactorily solve claims processing issues for all Health Plan lines of business, utilizing the pharmacy claims processing system and all other appropri


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