Licensed Managed Care Pharmacist
Job Summary
Working remotely on a full-time temporary basis, a Licensed Managed Care Pharmacist will make determinations on prior authorization requests for pharmaceutical coverage, ensuring compliance with pharmacy guidelines and industry regulations.
Key responsibilities
- Evaluate prior authorization requests for medical necessity and benefit decisions
- Provide clinical support and engage with providers to facilitate determinations
- Collaborate with a team to meet quality standards and customer performance guarantees
Required qualifications
- Bachelor's degree in Pharmacy or related field
- Active pharmacist license in good standing in any U.S. state
- Minimum of 5 years of experience as a Registered Pharmacist
- Experience in prior authorization processes
- Proficient in a Windows-based computer environment
Complete Job Description
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