Utilization Review & Pharmacy Services Specialist

Posted 9 days ago

lwccBrooklyn (NY)

Compensation, Benefits, and Job Analysis Specialists Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

SENIORITY

Mid

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About 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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