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Job Description
- Req#: 32606864798
- Utilize P&T-approved clinical coverage criteria to review prior authorization requests for clinical appropriateness and medical necessity within regulatory turnaround times.
- Collaborate with intake staff and pharmacy technicians to prepare cases for final review.
- Send notifications regarding determinations to the provider and member.
- Support ongoing 2025 business needs.
- Knowledge of clinical pharmacology and the ability to interpret clinical charts and labs.
- Excellent oral and written communication skills.
- Proficiency with clinical compendia (Micromedex, Clinical Pharmacology, NCCN, AHFS, etc).
- Prior Authorization review experience.
- Experience with and/or knowledge of specialty and injectable medications.
- Completion of a residency program.
Are you an experienced Pharmacist with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Pharmacist to work at their company in CA (Remote - with possible weekend coverage).
Primary Responsibilities/Accountabilities:
Qualifications:
Preferred:
About the company
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