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Job Description
- Req#: JR101792
Employer Industry: Pharmacy Benefit Management
Why consider this job opportunity:
- Salary up to $94.43 per hour
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package including medical, dental, vision, and wellness programs
- Paid time off and company-paid holidays
- Incentive compensation and 401K with company match
- Supportive team environment focused on making a positive impact in healthcare
What to Expect (Job Responsibilities):
- Provide clinical review support services for client plans, including reviewing and making decisions on prior authorization requests
- Analyze medication request guidelines for clinical appropriateness and operational efficiency
- Offer drug information support and research clinical literature to assist prior authorization decisions
- Prepare utilization and compliance reporting for client plans and assist with client presentations
- Provide feedback and in-service education to Prior Authorization Coordinators regarding clinical review processes
What is Required (Qualifications):
- PharmD and 3+ years of experience in a relevant field, or an equivalent combination of education and experience, including 1 year as a Subject Matter Expert
- Current, unrestricted Registered Pharmacist license in the State of California or another U.S. state
- Proficiency in Microsoft Office Suite
- Extensive knowledge of pharmacy services, particularly in managed healthcare
- Strong analytical and problem-solving skills
How to Stand Out (Preferred Qualifications):
- Experience in clinical pharmacy practice within a managed care environment
- Familiarity with prior authorization processes and medication request guidelines
- Excellent interpersonal and communication skills, both written and verbal
#PharmacyBenefitManagement #HealthcareCareers #ClinicalPharmacy #CareerGrowth #EmployeeBenefits
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