Support daily coverage determination and appeals workflows by processing cases, monitoring queues, reviewing work for accuracy and compliance, and helping resolve escalations. Maintain workflow documentation, communicate procedural updates, respond to stakeholder inquiries, and identify process gaps and improvements. Requires knowledge of pharmacy benefit management, CDAG operations, and applicable regulations, along with strong data-entry, documentation, analytical, organizational, and communication skills. A high school diploma or GED is required, a bachelor’s degree is strongly preferred, and candidates need current pharmacy technician certification, licensure, or registration, or at least four years of relevant industry experience.
SlateRx provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
