UPMC Health Plan
Pittsburgh or Pittsburgh
Pharmacy Clinical Review Specialist- Remote
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- Location
- Pittsburgh or Pittsburgh
- Work type
- Remote
- Compensation
- $41,600 - $63,544/yr
- Posted
- Aug 26, 2026
- Apply on
- upmcjobs.taleo.net
About this role
High school diploma and pharmacy claims, pharmacy technician, or related healthcare experience required. Requires pharmacy claims systems, medical terminology, utilization management, MS Office, analytical, organizational, and communication skills.
What you'll do at UPMC Health Plan:
- reviewing authorizations
- processing determinations
- maintaining criteria
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