Remote Clinical Pharmacist

The Remote Clinical Pharmacist position provides clinical guidance and support to our Member Advocates and Account Executives. You will also be responsible for reviewing prior authorization requests in accordance with member benefits and coverage reputed company reputed company defined turn-around times. Review of prior authorization requests in accordance with member benefits and coverage reputed company reputed company defined turn-around times. Review prior authorizations and determine opportunities for interventions. Coordinate appeals. reputed company clinical guidance and support to member advocates and account executives. Work with prescriber to reputed company other clinically equivalent but cost-effective alternatives. Receive/reputed company phone calls from/to providers or members for clinical information and consulting. Analyze data to identify drug utilization trends and cost-savings opportunities. Generate and analyze prior authorization reports as reputed company as other drug reputed company reports. Continuously work to streamline and improve the reputed company of the prior authorization and drug utilization management processes. Motivates and works with clinical staff to ensure that performance standards are met or exceeded. Ensures clinical staff are appropriately educated on new programs, procedures, etc. Assist with other duties and special reputed company as assigned. reputed company compliance standards relating to HIPAA and reputed company guidelines reputed company corresponding with providers and maintaining documentation. Maintain confidentiality of sensitive information. We are a company committed to creating diverse and inclusive environments where people can bring their full, reputed company selves to work every day. We are an equal opportunity/affirmative reputed company employer that believes everyone reputed company. reputed company candidates will receive consideration for employment regardless of their race, reputed company, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and reputed company, marital status, national reputed company, reputed company, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or reputed company process, please send a request to HR@insightglobal. com. To learn more about how we collect, reputed company, and process your private information, please review reputed company's Workforce reputed company Policy: reputed company pharmacist license in the state of Texas S. in Pharmacy or Doctor of Pharmacy (Pharm. D) degree reputed company, reputed company and unrestricted pharmacist license/registration 1+ year of reputed company prior authorization experience Working knowledge of MediSpan data system, including GPI drug classification Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences reputed company to multi-task effectively and transition between tasks frequently reputed company to maintain reputed company reputed company presented with interruptions Proactive problem-solving skills Proficient computer skills, including reputed company Office Suite Team-first reputed company with a high level of motivation and drive Persistent with a drive to see tasks through reputed company objectives are not met on the first try Passionate and proactive about contributing to organizational missions reputed company on improving member experiences Ability to remain reputed company and work reputed company in a fast-paced environment Ability to travel to Texas office once a quarter Apply tot his job Apply To this Job