Rhode Island Licensed Clinical Pharmacist
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Job Summary
To support a leading pharmacy benefits team, the fully remote Rhode Island Licensed Clinical Pharmacist will review clinical information for specialty medication prior authorizations, collaborate with healthcare professionals, and communicate authorization decisions.
Key responsibilities
- Review clinical and medical information to process specialty medication prior authorizations
- Collaborate with healthcare professionals to evaluate authorization requests based on clinical knowledge and health plan criteria
- Handle inbound calls regarding authorization status and address escalations related to authorization questions
Required qualifications
- Bachelor's degree in Pharmacy or PharmD
- Active pharmacist license in good standing
- Minimum of 2 years of pharmacist experience
- At least 2 years of experience with specialty medications or prior authorization clinical reviews
- Proficiency in Microsoft Office and Windows-based applications
Complete Job Description
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