Job Summary
A company is looking for a Managed Care Pharmacist.
Key Responsibilities
- Evaluate and review prior authorization requests, rendering coverage determinations based on clinical criteria and plan design
- Collaborate with technicians and prior authorization team members to process referrals and handle clinical inquiries
- Maintain professional knowledge of drug and disease states for Specialty and Non-Specialty Pharmacy programs
Required Qualifications
- Bachelor's Degree - BS Pharmacy and an active pharmacist license in the state of practice/residence
- Preferred: Doctorate - Pharm D
- Experience in approving and denying claims is required
Comments