Role Description This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or members. They are accountable for supporting and assisting in the coordination of Pharmacy Services benefits, including: - Claim utilization analysis - Prescription plan design - Ad-hoc reporting - Correspondence and special projects This position must ensure performance is in compliance with organizational or departmental goals and regulatory agencies. They must process prior authorization requests received via fax or prior authorization help line, by evaluating the medical necessity/appropriateness for specific drugs based on clinical criteria. What You'll Do - Responsible for all telephonic interaction with members, physician office staff, pharmacies, and internal stakeholders for Pharmacy eligibility, coverage determination, and/or claim issues. - Engagement with physicians & pharmacists to conduct effective interventions through clinical therapeutic interchange to facilitate formulary compliance, optimize generic dispensing, and consistency with the current plan design. - Capture accurate and comprehensive clinical information for Prior Authorization requests from physicians and/or medical office staff to allow for clinical review and medical necessity determination. - Responsible for satisfying all departmental customer service quality metrics while ensuring that all DMAHS and DOBI required regulatory turnaround times are consistently satisfied. - Process complaints, appeals, grievances, executive inquiries, and compliance-related issues. - Responsible for identifying instances of potential fraud, waste, and abuse and resulting internal referrals that are necessary. - Provide recommendations to increase efficiency, accuracy, and productivity in the department. - Process ad hoc requests for information or reports from stakeholders. - Accountable for independent and group learnings to ensure understanding of pharmacy services procedures and workflows. - Assist in the day-to-day business functions of the pharmacy department as well as the Medication Therapy Management program. - Provide support to various clinical programs within the pharmacy department. Qualifications - High School Diploma/GED required - Minimum of two (2) years experience as a Pharmacy technician - Preferred minimum of two (2) years experience in third party prescription program claim adjudication - Prior customer service/service quality initiative experience - Requires National Pharmacy Technician Certification (PTCB or ExCPT) - In lieu of the Pharmacy Tech Certification, a minimum of 5 years’ experience as a retail pharmacy technician or relevant pharmacy experience in managed care or a PBM organization required Requirements - Knowledge of popular brand and generic drug names - Knowledge of third party prescription program claim adjudication - Working knowledge of managed care principles - Knowledge of common medical terminology - Understanding of National Drug Code (NDC) - Knowledge of State of New Jersey Board of Pharmacy regulations and State Federal controlled substances regulation Skills and Abilities - Ability to utilize a personal computer and applicable software - Effective verbal and written communication skills - Ability to work well within a team - Ability to deliver highly technical information to less technical individuals - Demonstrated professional and ethical business practices - Proven time management skills - Ability to manage multiple priorities and deliver timely and accurate work products - Ability to work in a production-focused environment - Proven ability to exercise sound judgment and strong problem-solving skills - Proven ability to ask probing questions and obtain thorough and relevant information Benefits - Comprehensive health benefits (Medical/Dental/Vision) - Retirement Plans - Generous PTO - Incentive Plans - Wellness Programs - Paid Volunteer Time Off - Tuition Reimbursement Salary Range $44,600 - $59,745 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.

Role Description The COC GPO Implementation Specialist is responsible for the successful implementation of new continuum of care customers and ensures that the customers are connected to their distributor or wholesaler and all vendors, meeting the expectations of the customer and the field sales team for a successful implementation. The purpose of this role is to support the Premier sales teams through the new member implementation and conversion process. This position is extremely versatile working in collaboration with: - Premier sales teams - Premier Channel Partners - Contracted Distributors and Wholesalers - Contracted Suppliers - Other Continuum of Care support teams including pharmacy analysts, contract analysts, the data analytics team, and suppliers contract connection teams This role is also responsible for assisting in: - Contract tracking - Supplier engagement and contract onboarding - Analytics - Member communications and support - Project deliverable monitoring - Distribution pricing connection facilitation - Savings documentation - Maintaining relationships with internal and external groups - Other tasks as needed throughout the implementation process Qualifications - 4 or more years of applicable experience - High School Diploma or GED (Required) - Bachelor’s degree (Preferred) Requirements - Critical thinking - Excellent Communication Skills - Project Management - At least 2 years managing projects with cross functional teams desired - Ability to implement both new business process creation and existing process modification required - Outstanding verbal and written communication skills - Experience in a healthcare/pharmacy company a plus - Remain in a stationary position for prolonged periods of time - Be adaptive and change priorities quickly; meet deadlines - Attention to detail - Operate computer programs and software - Ability to communicate effectively with audiences in person and in electronic formats - Day-to-day contact with others (co-workers and/or the public) - Making independent decisions - Ability to work in a collaborative business environment in close quarters with peers and varying interruptions Benefits - Health, dental, vision, life and disability insurance - 401k retirement program - Paid time off - Participation in Premier’s employee incentive plans - Tuition reimbursement and professional development opportunities Company Description - Granted World's Most Ethical Companies, Ethisphere, 2008-2026 - Named U.S. News & World Report, Best Companies to Work For (2023, 2024, 2025) - Accredited by Forbes: America’s Best Management Consulting Firms 2024-2025 - Given Modern Healthcare Best in Business Awards: Consultants- Healthcare Management - Awarded Cigna Workforce Designation Gold Level Recipient (2016,2017,2019,2020,2021,2022,2023,2025) - For a listing of all of our awards, please visit the Awards and Recognition section on our company website.

Role Description SOLDI is part of Customer Solutions and the IE Specialist in the practice area IE serves as Subject Matter Expert to develop and implement operational CS products and customized solutions for customers within the Europe Region. The role involves the research, evaluation and delivery of business cases for new product developments and leads projects and virtual temporary teams remotely. The role requires close collaboration with CS Customer Facing on customer opportunities to gain, retain and grow UPS business through solutions that deliver customer value. The IE Specialist communicates and collaborates with aligned positions in other SOLDI areas, other Solution groups, Operations, IE, Sales, Marketing and Revenue Management. - Manage projects, implementation and support activities - Solve customer problems by designing and implementing best fitting solutions - Develop, lead and implement moderately complex projects to support new business opportunities whilst overcoming cross–functional resistance - CS product owner for specific CS products, monitoring and supporting to ensure these are maintained and continue to operate effectively - Seek continuous improvements within customer solutions projects to enhance services - Provide subject matter expertise to increase Customer Solutions knowledge and understanding - Keep Customer Solutions project stakeholders informed of project progress - Analyze data and interpret the results to make recommendations for solutions and evaluate solutions prior to implementation Qualifications - Bachelor's Degree or International equivalent - Preferred - A team player willing to contribute knowledge and experience within the team - Analytical skills, the ability to think “out of the box” as well as self-responsibility and accountability for own projects and tasks - An open-minded approach to projects with a positive and can-do attitude - Experience and knowledge in MS Office products - A good understanding of UPS’ products, services and network operations - Good verbal and written skills in English - We welcome applicants from different locations, as the role offers flexibility (Flexible location in Europe) Company Description Founded in 1907 as a messenger company in the United States, UPS has grown into a multi-billion-dollar corporation by clearly focusing on the goal of enabling commerce around the globe. Today, UPS is a global company with one of the most recognized and admired brands in the world. We have become the world's largest package delivery company and a leading global provider of specialized transportation and logistics services. Every day, we manage the flow of goods, funds, and information in more than 200 countries and territories worldwide.

• Oversee facility startups • Manage vendor partnerships • Coordinate automation installations • Train maintenance leadership • Drive cost savings initiatives