State Licensed Clinical Pharmacist
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Job Summary
To support prior authorization decisions for specialty medications, the full-time Remote Clinical Pharmacist Specialty Prior Authorization will conduct clinical reviews, collaborate with healthcare professionals, and manage inbound calls while working in a remote environment.
Key responsibilities
- Conduct clinical reviews of authorization requests based on health plan and employer criteria
- Collaborate with technicians and nurses to gather necessary clinical and medical information
- Communicate case decisions to physicians, health plans, and patients in a timely manner
Required qualifications
- Active Pharmacist license in the candidate's state of residence
- Bachelor's degree in Pharmacy
- Minimum of 2 years of experience as a pharmacist
- 2+ years of clinical experience with specialty medications or prior authorization reviews
- Strong technical proficiency with Windows-based applications
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