Florida Licensed Clinical Pharmacist

Job Summary

A company is looking for a Clinical Pharmacist - Prior Authorization.

Key Responsibilities

• Review Medicare Part D appeals cases for accuracy and clinical appropriateness
• Evaluate internal notes and conduct outreach to providers for additional clinical details
• Ensure compliance with CMS guidelines and maintain productivity and quality standards

Required Qualifications

• Active Registered Pharmacist license in good standing
• 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
• Ability to work independently in a productivity-driven environment