Job Description
About the team
Doctor Anywhere's Operations team plays a vital role in driving the success of our TPA business. Our scope includes end-to-end claims processing, Letter of Guarantee (LOG) issuance, customer service, business processing, and panel network management. We support both virtual and in-person clinical services, ensuring smooth daily operations and swift resolution of any issues. Our focus is on delivering operational excellence and consistently providing a best-in-class customer experience keeping our customers at the heart of everything we do.
About the role
We are seeking a Pharmacist will support the TPA's medical and claims review function by assessing prescriptions, verifying drug-related information, evaluating claim authenticity, and ensuring compliance with medical and policy guidelines. The role ensures accurate and fair processing of pharmacy-related claims while maintaining high standards of customer service and regulatory compliance.
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