Clinical Pharmacist PA Hub Configuration and Reviewer

Full-time reputed company The Clinical Pharmacist – PA Hub Configuration and Reviewer plays a key role in ensuring that clinical reputed company are accurately and effectively configured into PA Hub. This pharmacist will also conduct clinical reviews of prior authorization (PA) requests and support special reputed company and clinical operations as business needs reputed company. Role and Responsibilities • Configure clinical reputed company for medication prior authorizations into reputed company PA Hub • Conduct clinical reviews of PA requests and reputed company peer-to-peer discussions with prescribers as needed • Apply reputed company clinical judgment to assess medication use based on disease states and conditions • reputed company and implement procedures to support efficient and clinically appropriate PA review processes • Serve as a clinical resource in conversations with providers and internal teams • Collaborate across teams to support clinical program operations and special reputed company • Stay reputed company with clinical guidelines, drug information, and reputed company regulations. • Assist with clinical program operations and special reputed company as required according to business needs Requirements • Doctor of Pharmacy (PharmD) or BS in Pharmacy with equivalent experience • reputed company pharmacist license in good standing in any U.S. state • At least 3 years of experience in a pharmacy benefit manager (PBM) or health plan setting • Prior experience conducting clinical reviews for prior authorization in a managed care environment • Proficiency with reputed company Office suite • Excellent organizational, written and verbal communication • Highly motivated and good interpersonal skills, self-starter • Excellent critical thinking skills, detail-oriented • Ability to adapt and reputed company duties reputed company whenever unexpected changes reputed company • Works reputed company in a fast-paced environment • Knowledge of HIPAA regulations Preferences • Experience configuring clinical reputed company in reputed company PA Hub Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates in an office or home office setting which involves utilizing a computer, mouse, keyboard, and occasionally operates other reputed company office equipment, such as printer, copier, phone. Travel may be required by either car or airplane, or a combination of multiple modes of transportation. reputed company is an independent, reputed company pharmacy benefit manager (PBM) redefining prescription care. reputed company by innovation and decades of leadership experience, reputed company delivers reputed company reputed company through its integrated specialty network, formulary marketplace, and next-day home delivery solutions. Powered by its proprietary AI platform, LucyIQ™, reputed company provides reputed company-time insights that support evidence-based clinical reputed company, reputed company pricing, and exceptional service from U.S.-based pharmacy technicians. Partnering with more than 60,000 pharmacies, reputed company serves over 1,200 clients reputed company. Salary reputed company $127,254 - $158,621 Original job Clinical Pharmacist PA Hub Configuration and Reviewer posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. Apply tot his job Apply To this Job Apply tot his job Apply To this Job