Pharmacist - PBM Prior Authorization (REMOTE)

Woonsocket, RI 02895 | Fully Remote

Posted: 10/28/2024 Category: Healthcare Job Number: KV102

Job Description

A-Line Staffing is now hiring a Remote Pharmacist with Prior Authorization experience in PBM environment! The Pharmacist would be working for a Health Insurance Company and has career growth potential. See additional details below.

**MUST HAVE PRIOR AUTHORIZATION EXPERIENCE**

Pharmacist Job Highlights

  • The pay for this position is $50.00 - $53.00 per hour paid biweekly.
  • Monday-Friday 9:30AM -6PM ET (Training: first 4 weeks M-F 8am-4:30pm CT)
  • Remote position, preferably located in Massachusetts 
  • This position is a contract to hire.

Responsibilities

  • Review and complete criteria based on prior authorization as per policy and procedure.
  • Serves as decision-maker on PA
  • Assures the proper processing and maintenance of all PA paperwork.
  • Works distributed faxes. Maintains accurate documentation of calls. Works all client exceptions.
  • Promptly answer priority and escalated calls on Pharmacist-line.
  • Maintains and updates all desk references materials.
  • Attends on going training and development meetings.

Requirements

  • Must have prior authorization experience in PBM/Managed Care (not retail, hospital, etc...)
  • Bachelor's degree in pharmacy or Pharm D.
  • Must have an active license in good standing.
  • Basic computer skills
  • They must have a sufficient/private work area that is used for business during their work hours.
  • Must be comfortable communicating by telephone or mail, with patients and physicians for patient care

Benefits Available

  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

If you are interested in this Pharmacist position, APPLY, or contact kvaughn@alinestaffing.com

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About Woonsocket, RI

Explore exciting job opportunities near Woonsocket, Rhode Island! Nestled in the picturesque New England region, Woonsocket offers a charming blend of historic charm and modern opportunities. With landmarks like the stunning Museum of Work & Culture, vibrant arts scene at the Stadium Theatre Performing Arts Centre, and delectable cuisine options ranging from classic clam bakes to trendy food trucks, this area promises a fulfilling career and a quality lifestyle. Join the proud community supporting local teams like the Pawtucket Red Sox at McCoy Stadium and savor outdoor adventures at the scenic World War II Veterans Memorial Park. Start your professional journey in Woonsocket, where every day offers a new chapter of growth and success.