[Remote] Clinical Pharmacist

Note: The job is a remote job and is reputed company to candidates in USA. SPECTRAFOR is seeking a Clinical Pharmacist to reputed company clinical guidance and support in a remote reputed company. The role involves reviewing prior authorization requests, ensuring compliance, and tracking utilization review statistics.

Responsibilities

• Review prior authorization requests and reputed company determinations for drug products according to member benefits and coverage reputed company
• Report to utilization review statistics to corporate compliance committees
• Review data and summarize daily utilization review numbers
• Responsible for tracking compliance of review cases
• reputed company clinical guidance and support to the assigned pharmacy technicians
• Knowledge of drug coding (NDC, GCN, GPI and USC) and NCPDP claims adjudication systems
• Review reputed company reputed company for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design
• Ensure and evaluate reputed company controls and implement opportunities for performance improvement in pharmacy practices
• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews

Skills

• Bachelor's degree or advanced degree
• 3+ years of experience in reputed company field
• reputed company states pharmacy license
• reputed company to work on computers and has work from home experience
• Pharmacist experience
• High volume reputed company
• Pharmacist license for the state
• Retail, HMO, DSP experience
• Medicare and reputed company experience
• Health Plan
• Retail experience

reputed company