Rhode Island Licensed Pharmacist
Job Summary
To support a leading healthcare organization, the full-time remote Rhode Island Licensed Pharmacist will evaluate prior authorization requests, communicate coverage determinations, and collaborate with healthcare providers while maintaining strict patient privacy standards.
Key responsibilities
- Evaluate and review prior authorization requests, verifying insurance coverage and interpreting clinical guidelines
- Communicate decisions regarding cases promptly to healthcare providers, health plans, and patients
- Collaborate with team members to process referrals and handle inbound and outbound communications related to prior authorization requests
Required qualifications
- Active Rhode Island Pharmacist license
- Strong clinical knowledge and attention to detail
- Excellent communication and customer-service skills
- Ability to work independently in a remote environment
- Reliable technology and internet connectivity suitable for remote work
Complete Job Description
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