Seeking a motivated Senior Clinical Review Operations Pharmacist to work remotely in a full-time capacity, focusing on maintaining high-quality clinical reviews, optimizing processes and technology, mentoring peer pharmacists, and driving cross-functional collaboration within the Prior Authorization team. Key responsibilities: Identify operational process gaps and implement technology-driven solutions to enhance efficiency Provide guidance and mentorship to fellow pharmacists, ensuring clinical consistency and quality Act as a senior contact for complex clinical cases, escalated coverage determinations, and appeals Required qualifications: 5+ years of experience in health plan or Pharmacy Benefit Manager (PBM) operations, specifically in prior authorization review Active and unrestricted Pharmacist License required Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD) required Demonstrated expertise in driving process improvements and technology efficiencies Strong proficiency with Mac, MS Office, and G-Suite platforms
Senior Operations Pharmacist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.