Job description
VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, currently has an opportunity for a Pharmacy Quality & Resolution Specialist in Birmingham, AL! The Pharmacy Quality & Resolution Specialist is responsible for ensuring the accuracy and efficiency of day-to-day operations of VIVA HEALTH’S pharmacy programs for all lines of business. This individual is responsible for coordinating with the contracted Pharmacy Benefit Manager (PBM) or vendor, assisting local pharmacies, assisting with regulatory agency requirements, ensuring utilization and eligibility issues are monitored and addressed, and handling escalated billing and claims inquiries related to drug coverage and benefits.