Licensed Pharmacist Appeals
Job Summary
Evaluating prescriptions and patient histories, the full-time Licensed Pharmacist Appeals will work remotely to consult on medication use, interpret clinical documentation, and make determinations on pharmacy coverage appeals.
Key responsibilities
- Evaluate prescriptions and patient histories to determine appeal outcomes
- Consult with patients and healthcare providers regarding medication interactions and clinical status for appeals
- Research and assess clinical information to render decisions on member and provider pharmacy coverage appeals
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 with prior authorization case review and decision-making
- Intermediate computer proficiency with MS Office and navigating a Windows environment
Complete Job Description
The complete job description is available to members. Premium membership includes:
Full access to 47,805 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
Wikipedia Wikipedia URL
BBB URL BBB URL
The company description is available to members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
