State Licensed Clinical Pharmacist

Job Summary

To support a growing healthcare practice, the full-time State Licensed Clinical Pharmacist will conduct clinical reviews of prior authorization requests for specialty medications, manage inbound communications regarding authorization statuses, and collaborate with healthcare professionals, all in a remote setting.

Key responsibilities

• Conduct clinical reviews of medical data for prior authorization requests and collaborate with technicians and nurses to gather necessary information
• Communicate case decisions to physicians, health plans, and patients in accordance with established approval and denial management processes
• Handle inbound calls and escalations related to prior authorization requests from physicians and patients

Required qualifications

• Bachelor's degree in Pharmacy or PharmD
• Active pharmacist license in the state of residence in good standing
• Minimum of 2 years of clinical experience with specialty medications or clinical review of prior authorization requests
• At least 2 years of experience as a pharmacist with prior authorization
• Proficiency in MS Office and other Windows-based computer applications