Prior Authorization Pharmacist

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, Jun 05, 2024
This job expires in: 23 days

Job Summary

A company is looking for a Prior Authorization Pharmacist.

Key Responsibilities:
  • Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician-administered drugs
  • Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations
  • Participate in clinical quality audits and inter-rater reliability testing

Required Qualifications:
  • 3+ years of experience as a licensed pharmacist
  • Active, unrestricted pharmacist license
  • Doctor of Pharmacy Degree
  • Willingness to obtain licensure/training with new states, as needed
  • 3+ years of experience performing clinical review in a managed care setting and experience writing clinical criteria (bonus)

COMPLETE JOB DESCRIPTION

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