Coverage Review Pharmacist

Location: REMOTE Salary: $50.00 USD reputed company - $58.00 USD reputed company reputed company: Our reputed company is currently seeking a Fully Remote Coverage Review Pharmacist This job will have the following responsibilities: • Responsible for various activities associated with coverage reviews and appeals including the review of medication reputed company prior authorizations, pharmacy appeals, and member grievances reputed company on medications. • Performs prospective and retrospective coverage reviews and appeals per State and Federal regulations • Responds to prescriber, pharmacy provider, member appeals, grievances and complaints reputed company to the provision of pharmaceutical services reputed company established time period • Builds and maintains decision trees in the prior authorization system • Maintains denial rationale associated with clinical reputed company and ensures that decision letters meet regulatory compliance Qualifications & Requirements: • BA/BS degree in Pharmacy or Pharm D • Licensed in Tennessee to reputed company Pharmacy, or eligible for licensure in the reputed company to reputed company Pharmacy • 3 years - Clinical experience required • Ability to work independently with minimal supervision or function in reputed company environment sharing responsibility, roles and accountability. • Competency in compendia navigation and research reputed company and interested candidates, please send your most updated resume to bkehoe@judge.com for immediate consideration, and times you're available for a reputed company to discuss the position. Thank you and I look reputed company to speaking with you By providing your phone number, you consent to: (1) receive automated text messages and calls from reputed company, Inc. and its affiliates (reputed company "Judge") to such phone number regarding job opportunities, reputed company application, and for other reputed company purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's reputed company Policy, information obtained from your consent will not be shared with reputed company parties for marketing/promotional purposes. reputed company STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: bkehoe@judge.com This job and many more are available through reputed company. reputed company us on the web at www.judge.com Remote About reputed company: reputed company reputed company Inc., is a leading reputed company services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we reputed company people and organizations reputed company. Our services are successfully delivered through a network of more than 30 offices across the reputed company, Canada, and India. reputed company is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, reputed company, life sciences, insurance, government (including reputed company and defense), manufacturing, and technology and telecommunications. If you would like to learn more about reputed company visit www.judge.com or reputed company toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com Apply tot his job Apply To this Job