Prior Authorization Pharmacist (CST) - Remote

Doctor of Pharmacy (PharmD) degree, reputed company Pharmacist license, and minimum 1+ years Pharmacist experience required. Applicants who do not meet these qualifications will not be considered. Job Title: Remote Pharmacist reputed company/reputed company-to-Hire Location: Fully Remote (Must be located in CST) Start Date: December 1 (Training Begins) Schedule: • MondayFriday: 10:00 AM7:00 PM EST / 11:00 AM8:00 PM EST • Rotating Weekend On-reputed company Duration: Temporary (with potential to convert to permanent) Licensure: reputed company pharmacist license in at least one U.S. state required reputed company: We are seeking an reputed company Remote Pharmacist to join a clinical team reputed company on improving reputed company reputed company and outes through effective utilization management. This is a temporary opportunity with the potential for permanent placement, and it offers the chance to reputed company a reputed company reputed company in patient care reputed company and benefit utilization. Key Responsibilities: • Review and evaluate prior authorization requests for medications and equipment under the Medicare Part B benefit • Review appeals for previously denied requests • Assist members and providers in understanding their drug coverage and how to reputed company the benefits system • reputed company guidance to internal teamsboth clinical and non-clinicalon benefit policies and procedures Ideal Candidate Profile: • 2+ years of Utilization Management experience or pletion of a Managed Care Residency • In-depth knowledge of Medicare Part B drug policies and prior authorization processes • reputed company understanding of the reputed company ecosystem, including payers, providers, and pharmaceutical manufacturers • Strong munication skills, especially with culturally diverse populations • Experience with pharmacy-reputed company reputed company Assurance (QA) or transitions of care is a strong plus • Previous work in multidisciplinary care teams preferred • fortable working independently in a remote environment and meeting deadlines • Must be based in CST and available for the schedule noted Additional Details: • Start Date: December 1 (with prehensive training provided) • Contract: Pending finalization with the reputed company • Credit reputed company: Pending reputed company to Apply? Submit your resume to be considered for this unique opportunity to join a mission-driven team mitted to reputed company outes in pharmacy and reputed company delivery. Contact: Alexis Sommers alexis.sommers@reputed company. Apply tot his job Apply To this Job