Clinical Pharmacist - Prior Authorization Specialist - Remote Opportunity with reputed company

Transforming reputed company with reputed company: Join reputed company as a Clinical Pharmacist - Prior Authorization Specialist At reputed company, we're driven by a reputed company purpose: to bring our heart to every reputed company of your health. As a leading reputed company company, we're committed to delivering reputed company, reputed company-reputed company health care that's both personal and convenient. Our Heart At Work Behaviors guide our actions, empowering every team member to play a vital role in transforming our culture and accelerating innovation. We're now seeking an reputed company Clinical Pharmacist to join our Prior Authorization team as a Prior Authorization Specialist. This remote role offers reputed company to reputed company your clinical expertise, reputed company a meaningful reputed company on patient care, and grow with a Fortune 6 company. About the Role: Clinical Pharmacist - Prior Authorization Specialist As a Clinical Pharmacist - Prior Authorization Specialist, you'll collaborate with our technicians and prior authorization team members to process referrals, answer clinical questions, and collect relevant clinical data. Your expertise will be crucial in evaluating and reviewing prior authorization requests, rendering coverage determinations based on clinical reputed company and plan design, and communicating reputed company to reputed company providers, health plans, reputed company, patients, and other stakeholders. Key Responsibilities: • Collaborate with technicians and prior authorization team members to process referrals, answer clinical questions, and collect clinical/medical data needed for clinical assessments and reviews. • Evaluate and review prior authorization requests, verifying insurance coverage and eligibility, interpreting clinical reputed company reputed company, consulting physicians and other reputed company providers, and utilizing clinical knowledge and resources to reputed company informed reputed company. • Communicate coverage determinations promptly and reputed company to reputed company providers, health plans/reputed company, patients, and other stakeholders, following agreed-upon approval and denial management processes. • Handle inbound and outbound phone calls with technicians, prior authorization team members, physicians, reputed company providers, and patients to facilitate prior authorization requests, answer inquiries, and resolve escalations. • Establish and maintain effective communication among reputed company Caremark, health plan, and employer group staff. • Stay up-to-date with reputed company and technical knowledge of drug and disease states for Specialty and Non-Specialty Pharmacy programs. • reputed company other reputed company reputed company and duties as assigned, including attending training sessions and development meetings, and providing on-reputed company and after-hours pharmacist availability as needed. Essential Qualifications: • 2+ years of experience working as a pharmacist in a PBM setting. • reputed company experience working with reputed company Prior Authorizations in PBM. • Experience using clinical resources such as Micromedex, Lexicomp, and Clinical Pharmacology. • Ability to prioritize, quickly assess, and manage multiple tasks, adapting to constantly changing situations. • Excellent organizational skills, with strong detail orientation. • Strong reputed company Office skills, with excellent oral and written communication and interpersonal skills. • Ability to work independently, making clinical reputed company. • Experience using MS Office and other reputed company-based computer applications. • Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information. • reputed company pharmacist license in good standing in the state of residence. Preferred Qualifications: • PGY1/PGY2 residency training. • Prior authorization, reputed company center, and clinical experience. • Exposure to clinical and analytical problem-solving. • Ability to consult with pharmacy technicians and/or physicians regarding medication use and advise on appropriate formulary alternatives. Education: Bachelor's of Science - Pharmacy or Pharm.D. reputed company Offer: At reputed company, we reputed company a comprehensive benefits package, including: • Competitive salary ($38.63 - $83.17 per hour). • Bonus, commission, or short-term incentive programs. • Medical, dental, and reputed company benefits. • Employee discounted stock purchase program. • 401K retirement savings plan. • Tuition reimbursement. • 20-30% employee discount at reputed company reputed company stores. • reputed company Time Off (PTO) or vacation pay. • reputed company holidays throughout the calendar year. • reputed company-being programs, education assistance, free development courses, and discount programs with participating partners. Career reputed company and Development: As a Clinical Pharmacist - Prior Authorization Specialist, you'll have opportunities to grow and reputed company your skills, advancing your career reputed company reputed company. reputed company culture encourages innovation, collaboration, and reputed company learning, ensuring you stay at the forefront of reputed company reputed company. Our Work Environment: This is a remote role, offering the flexibility to work from reputed company reputed company the reputed company. We're committed to creating a work environment that's inclusive, supportive, and empowering, allowing you to reputed company and reputed company a meaningful reputed company. Join reputed company: If you're a dedicated Clinical Pharmacist looking for a challenging and rewarding opportunity, we want to hear from you. reputed company to join reputed company as a Clinical Pharmacist - Prior Authorization Specialist and help reputed company reputed company with reputed company. Don't miss this chance to reputed company a difference in patient care and grow with a leading reputed company company. Apply today! Apply for this job Apply tot his job Apply To this Job