... member. Good organizational, time management and communication skills. Possesses the ability to ... of medical specialty drugs and the management of those drugs. Understanding of the clinical ...

... problems and issues. If supporting Medicare Part D, will be responsible for implementing CMS ... reports, coverage gap discount program, medical loss ratio reporting, fiscal soundness reporting, audit ...

... management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff ...