Clinical Pharmacist Medicare D

(none selected) | Fully Remote

Posted: 09/28/2022 Category: Pharmacy Job Number: 300180

Job Description

A-Line Staffing is now hiring a Remote Prior Authorizations Pharmacist! The Pharmacist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.

 

Location: Work from Home

Shift: Monday - Friday, any 8 hours per day between 7am to 9pm CST with rotating weekends

Compensation & Benefits

  • The pay for this position is $53 per hour
  • 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

 

Responsible for:

1. 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 healthplan/employer agreed criteria within the designated service level agreements. (20%)
2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
3. Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)
6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (10%)

 

#ALINE3

Job Requirements

Position Requirements:

  • Pharmacist license (any state in the USA)
  • Prior authorization experience
  • Medicare experience
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