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Job Description
- Req#: JR102157
Employer Industry: Pharmacy Benefit Management
Why consider this job opportunity:
- Salary up to $94.43 per hour
- Incentive compensation and comprehensive benefits package including medical, dental, and vision coverage
- Opportunity for career advancement and growth within the organization
- Paid time off and company-paid holidays
- Supportive and collaborative work environment focused on making a positive impact in healthcare
- Flexibility to work remotely with management approval based on business requirements
What to Expect (Job Responsibilities):
- Provide clinical review support services for client plans, including reviewing and deciding on prior authorization requests
- Review medication request guidelines for clinical appropriateness and assist in their revision and creation
- Provide drug information support and research clinical literature documentation to support prior authorization decisions
- Coordinate and assist with projects related to prior authorization program development and internal/external communications
- Handle provider, pharmacy, and member calls to complete prior authorization and Peer to Peer requests
What is Required (Qualifications):
- PharmD and 3+ years of experience or an equivalent combination of education and experience, including 1 year of subject matter expertise in respective areas
- Current, unrestricted Registered Pharmacist license in any state of the United States
- Excellent working knowledge of pharmacy services, particularly in a managed healthcare environment
- Proficiency in Microsoft Office Suite
- Strong problem-solving skills and the ability to handle difficult client situations
How to Stand Out (Preferred Qualifications):
- Experience in clinical application of pharmacy practice
- Familiarity with prior authorization processes and guidelines
- Strong interpersonal communication and customer service skills
- Ability to manage multiple tasks and prioritize effectively
- Participation in local conferences and meetings related to the field
#PharmacyBenefitManagement #HealthcareCareers #ClinicalSpecialist #CareerGrowth #RemoteWorkOpportunity
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