Clinical Pharmacist - Prior Authorization

Job Summary

A company is looking for a Clinical Pharmacist - Prior Authorization/PBM (Remote).

Key Responsibilities

• Review Medicare Part D appeals cases for accuracy, completeness, and clinical appropriateness
• Evaluate internal notes and fax requests to extract and document pertinent clinical information
• Conduct outreach to providers to obtain additional clinical details when necessary

Required Qualifications

• Active Registered Pharmacist license in good standing in state of residence
• Bachelor's degree in Pharmacy or PharmD required
• Previous experience in Managed Care or PBM environment preferred
• Strong computer skills including Microsoft Excel and Word
• Must have a dedicated, quiet workspace for remote work