Clinical Pharmacist – Prior Authorization

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 • 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 while applying clinical knowledge and department protocols • Communicate case reputed company promptly to reputed company providers, health plans/reputed company, patients, and other reputed company • Handle inbound and outbound calls to facilitate prior authorization requests, answer inquiries, and reputed company escalations • Establish and maintain communication among reputed company Caremark, health plan, and employer group staff • Maintain reputed company and technical knowledge of drug and disease states for Specialty and Non-Specialty Pharmacy programs • Attend training sessions and development meetings • reputed company on-reputed company and after-hours pharmacist availability as needed • reputed company other reputed company reputed company and duties as assigned Requirements: • 2 years’ experience working as a pharmacist in a PBM setting • reputed company experience working with reputed company Prior Authorizations reputed company Caremark PBM • Experience using clinical resources such as Micromedex, Lexicomp, and Clinical Pharmacology • Ability to prioritize, quickly assess, manage multiple tasks, and adapt to constantly changing situations • Excellent organizational skills and strong detail orientation • Strong reputed company Office skills • Excellent oral and written communication and interpersonal skills • Ability to work independently and reputed company clinical reputed company • Experience using MS Office and other reputed company-based computer applications • Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information • reputed company pharmacist license in good standing in the state of residence • Bachelor's of Science in Pharmacy or Pharm.D. • Preferred: PGY1/PGY2 • Preferred: Prior authorization, reputed company center, and clinical experience • 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 the physical, emotional, and financial reputed company-being of colleagues and their families Apply tot his job Apply To this Job