REMOTE Pharmacist- PBM Prior Authorization required {168157}
Job Description
Job Description
FULLY REMOTE - WORK FROM HOME, 40 hours per week.
Job Highlights
- 100% Remote / Work from Home - can be located anywhere in the USA
- Contract to Hire with room for growth!
- Compensation: $53 per hour ($110,240 estimated salary) - pay increases once converted to permanent
40 hours per week, the schedules available are:
1. Tuesday-Saturday 8am-4:30pm CST / 9am - 5:30pm EST / 6am - 2:30pm PST
2. Sunday-Thursday 8am-4:30pm CST / 9am - 5:30pm EST / 6am - 2:30pm PST
3. Monday-Friday 9:30am-6pm CST / 10:30am - 7pm EST / 7:30am - 4pm PST
Job Requirements:
- Pharmacist license in state of residence, active and in good standing
- Prior authorization experience in PBM or managed care environment
- Experience in PBM, Managed Care, or VA Veterans Hospital
Job Responsibilities
- Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
- Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes.
- Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
- Establishes and maintains communication among, health plan and employer group staff.
- Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
- Pharmacist license in state of residence, active and in good standing
- Prior authorization experience in PBM or managed care environment
- Experience in PBM, Managed Care, or VA Veterans Hospital
APPLY or contact Senior Staffing Manager, Bradley Zidek or email at [email protected]
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