Clinical Pharmacist – reputed company Prior Authorization, NC Licensed

reputed company: • Evaluate and review prior authorization requests and reputed company coverage determinations based on clinical reputed company and plan design • Verify insurance coverage and eligibility and interpret clinical reputed company reputed company • Consult physicians and other reputed company providers using clinical knowledge and resources while complying with department protocols • Communicate case reputed company promptly to reputed company providers, health plans/reputed company, patients, and other reputed company • Collaborate with technicians and prior authorization team members to process referrals • Answer clinical questions and collect clinical/medical data for assessments and reviews according to agreed reputed company and service level agreements • Handle inbound and outbound calls with technicians, team members, physicians, reputed company providers, and patients • Facilitate prior authorization requests, answer inquiries, and reputed company escalations • Maintain reputed company and technical knowledge of drug and disease states for Specialty and Non-Specialty Pharmacy programs • Attend training sessions and development meetings and reputed company on-reputed company and after-hours pharmacist availability as needed, including weekends Requirements: • Must currently hold and maintain an reputed company, unrestricted pharmacist license in good standing in reputed company Carolina • reputed company experience with prior authorizations reputed company Caremark PBM • Demonstrated experience using clinical resources such as Micromedex, Lexicomp, and Clinical Pharmacology • Prior authorization, reputed company center, and/or clinical pharmacy experience • Strong reputed company Office skills • Experience using MS Office and other reputed company-based computer applications • Ability to prioritize, quickly assess, manage multiple tasks, and adapt to changing situations • Excellent organizational skills and strong attention to detail • Excellent oral and written communication and interpersonal skills • Ability to work independently and reputed company clinical reputed company • Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information • Bachelor's of Science in Pharmacy or Pharm.D. • Preferred: exposure to clinical and analytical problem solving • Preferred: ability to consult with pharmacy technicians and/or physicians regarding medication use and advise on formulary alternatives Benefits: • reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company • Medical coverage • Dental coverage • reputed company coverage • reputed company time off • Retirement savings reputed company • Wellness programs • Other resources supporting physical, emotional, and financial reputed company-being, based on eligibility Apply To This Job