Working remotely on a full-time temporary basis, a State Licensed Pharmacist will evaluate and review prior authorization requests, render coverage determinations based on clinical criteria, and collaborate with healthcare providers and team members to resolve escalations. Key responsibilities Evaluate and review prior authorization requests and render coverage determinations based on clinical criteria and plan design Communicate case decisions promptly to healthcare providers, health plans, and patients in accordance with established protocols Collaborate with the Prior Authorization team and Member Services to answer clinical questions and obtain necessary medical information Required qualifications Active pharmacist license in the state of residence Bachelor's degree in pharmacy (BS Pharmacy) 1-3 years of prior work experience as a pharmacist 2 years of experience in prior authorization Ability to handle inbound and outbound calls and resolve escalations
State Licensed Pharmacist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.