Senior Pharmacy Benefits Specialist - St. Luke's Health Plan

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.
Overview:
The Pharmacy Benefits Specialist assists our members in identifying and navigating complex pharmacy benefits management (PBM) and third-party issues such as prior authorization, step therapy, reviewing denied claims, and processing overrides. Works with an interdisciplinary team of pharmacy staff, patient financial advocates, the pharmacy authorization team, clinic staff, and providers. Issues insurance overrides and processes prior authorizations.
What to expect:
* Establish and maintain collaborative working relationships with pharmacies,...