Job Description

Summary

The Pharmacy Prior Authorization Call Center (PPAAC) Representative supports the Connecticut Medicaid account in a fast-paced, high-volume call center environment. This role is responsible for answering and resolving inquiries from prescribers and pharmacies related to pharmacy claims and prior authorization requests, ensuring timely, accurate, and compliant processing.


Working as part of a small, specialized team, the PPAAC Representative is required to process all pharmacy prior authorizations within 24 hours of receipt. This position requires flexibility to work rotating shifts, including second and third shifts, as well as on-call coverage on a rotational basis. Other duties may be assigned as needed.

Your role in our mission


  • Serve as a primary point of contact for prescribers and pharmacies regarding pharmacy claims and prior authorization inquiries



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