Licensed Pharmacist Appeals

Job Summary

A company is looking for a Pharmacist PA/Appeals - Remote Nationwide.

Key Responsibilities

• Evaluate prescriptions and patient histories, and consult with customers and physicians regarding medications
• Conduct quality assurance, verify prescription accuracy, and review formulary guidelines for coverage decisions
• Research and evaluate member and provider appeals of pharmacy coverage decisions, ensuring compliance with regulatory guidelines

Required Qualifications

• Master's degree in PharmD
• Active and unrestricted Pharmacist license in the state of residence
• 1+ years of experience as a licensed Pharmacist
• 1+ years of experience in prior authorization case review and rendering decisions
• Intermediate level of computer proficiency with MS Office