Licensed Pharmacist

Job Summary

A company is looking for a Pharmacist to perform pharmacy appeals case review for a contract position.

Key Responsibilities

• Evaluate prescriptions and patient histories
• Consult with customers, patients, and/or physicians regarding medication use and clinical status for appeals requests
• Research, evaluate, and make determinations on member and provider appeals of pharmacy coverage decisions

Required Qualifications

• Active, unrestricted Pharmacist license in your state of residence
• 2+ years of working experience as a licensed Pharmacist
• Experience using online clinical references and accessing professional internet sites
• Prior authorization/appeals review background
• Intermediate computer proficiency with MS Office and ability to navigate a Windows-based environment