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Duration: Long Term Assignment
Location: 100% Remote, however Pharmacist must ne located in North Carolina
Duties:
As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, contract criteria, industry regulations and sound clinical judgment. The Prior Authorization pharmacist works independently with respect to reviews and decision making, with the support of senior pharmacist staff and supervisors. You will work as member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. Additional responsibilities include:
Telephonically provide clinical support to the Contact Center
Engage providers in discussions to support determinations
Support Fraud and Abuse program system oversight.
Participate in various Pharmacy-related projects
Keep abreast of industry trends and regulatory changes
Keep abreast of operational directives and customer reference materials
Skills:
2 years pharmacy experience preferred
Previous experience in managed care environment preferred
Education:
Current pharmacy license in North Carolina REQUIRED
Must Reside in North Carolina
Contractor | Full Time
Business Services
$139k-157k (estimate)
05/05/2024
08/31/2024
lancesoft.com
HERNDON, VA
500 - 1,000
2000
Private
DIVYA GANDHI
$200M - $500M
Business Services
LanceSoft is a provider of application development, management outsourcing and data-warehousing services to the aerospace and automotive sectors.
The job skills required for Pharmacist include Health Care, Managed Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Pharmacist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Pharmacist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Pharmacist positions, which can be used as a reference in future career path planning. As a Pharmacist, it can be promoted into senior positions as a Pharmacist Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pharmacist. You can explore the career advancement for a Pharmacist below and select your interested title to get hiring information.