Utilization Review & Pharmacy Services Specialist
lwccBrooklyn, NY
Utilization Review & Pharmacy Services Specialist
lwccBrooklyn, NY
9 days ago
Occupations
Compensation, Benefits, and Job Analysis SpecialistsPharmacistsCompensation and Benefits ManagersIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Miscellaneous Ambulatory Health Care ServicesAll Other Health and Personal Care RetailersAbout the role
LWCC, Louisiana Workers' Compensation Corporation, based in Baton Rouge, is seeking a Utilization Review reviewer to manage the UR email box, route material, and perform first level reviews of DME, AMS, and pharmacy management programs. You will coordinate with vendors, PBM, pharmacists, physicians, claims staff, and injured workers to ensure compliance with policy.
Qualifications include a HS Diploma with 5–7 years in healthcare services, claims, or pharmacy.
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JOB OVERVIEW
Experience level
Mid
Location
Brooklyn, NY
Occupation
Compensation, Benefits, and Job Analysis Specialists
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
9 days ago
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