Remote PBM Prior Authorization Pharmacist

Job Title: Remote PBM Prior Authorization Pharmacist

Pay: $53 an hr | Bi-weekly

Job Type: Remote

Shift Options

• Tuesday-Saturday 8am-4:30pm CST
• Sunday-Thursday 8am-4:30pm CST
• Monday-Friday 9:30am-6pm CST
  
  

Remote PBM Prior Authorization Pharmacist Overview

• Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%)
• Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
• Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)
• Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (10%)
  
  

Remote PBM Prior Authorization Pharmacist Qualifications

• Knowledge of Access, Power Point, and Visio is preferable.
• Must be computer literate – knowledge of Excel and Word.
• Licensed Registered Pharmacist in state of residence
• Minimum 1 year of experience although 2-5 years is preferred
• License Pharmacist
  
  

Remote PBM Prior Authorization Pharmacist Benefits

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.
  
  

How To Apply

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | [email protected] | 412-790-5425

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