Pennsylvania Licensed Clinical Pharmacy Specialist
Job Summary
To support the Prior Authorization Team, a full-time Pennsylvania Licensed Clinical Pharmacy Specialist will provide clinical pharmacy expertise and manage pharmacy utilization while working remotely during daylight hours.
Key responsibilities:
- Perform clinical reviews of Prior Authorization and other pharmacy utilization management requests according to established standards
- Critically evaluate requests for approval or denial based on clinical criteria and regulatory policies
- Engage with internal and external stakeholders through a clinical call queue and participate in the pharmacy appeals process
Required qualifications:
- Bachelor of Science Degree in Pharmacy or Doctor of Pharmacy Degree (Pharm.D.) from an accredited U.S. School of Pharmacy
- Active registration as a pharmacist in Pennsylvania or eligibility for licensure by examination or reciprocity
- Experience in pharmacy benefit management or managed care is preferred
- Strong analytical abilities and organizational skills
- Computer literacy in pharmacy programming and data management
Complete Job Description
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