What are the responsibilities and job description for the Clinical Prior Authorization Pharmacist - REMOTE position at A-Line Staffing Solutions?
A-Line Staffing Solutions is looking to hire a REMOTE Prior Authorization Pharmacist with a major healthcare company. Starting ASAP!!
If this the position for you, apply to Andrew at ademoss@alinestaffing.com for immediate consideration!!!
Prior Authorization Pharmacist Compensation: $53.00 p/hr
Hours: full-time 8 hours per day 40 hours per week - possible weekends included
What does the Prior Authorization Pharmacist do?
- Operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications
- Will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases
- This role will work from supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations
- 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
- Collaborates with the CRU Technician to process referrals, 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
Prior Authorization Pharmacist Qualifications/Requirements:
- 3 years experience is preferred
- PBM pharmacy experience
- Experience making decision with prior authorizations
- Active Pharmacist license with no restrictions
- Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential
Salary : $53
