Pharmacist I, Clinical Prior Authorization (State Licensed)

Job Summary

A company is looking for a Pharmacist I, Clinical Prior Authorization.

Key Responsibilities

• Perform Prior Authorizations and Drug Utilization Review duties
• Participate in the Coverage Determination process and make coverage denial determinations
• Provide clinical expertise and support for formulary decisions and operational departments

Required Qualifications

• Bachelor's degree in Pharmacy or Pharm D with current unrestricted licensure as an RPh
• Two years of work experience in a clinical setting or relevant pharmacy residency preferred
• Knowledge of PBM industry and formulary management principles desired
• Exceptional clinical skills and sound clinical judgment
• Proficiency in drug literature evaluation and electronic databases preferred