North Carolina Licensed Prior Authorization Pharmacist

Job Summary

A company is looking for a Remote PBM Prior Authorization Pharmacist who must live in North Carolina.

Key Responsibilities

• Evaluate and review prior authorization requests, rendering coverage determinations based on clinical criteria
• Collaborate with team members to process referrals and handle inbound and outbound communications regarding prior authorization requests
• Maintain professional knowledge of drug and disease states relevant to the pharmacy programs and perform related duties as assigned

Required Qualifications

• Active, unrestricted pharmacist license in good standing in North Carolina
• Experience using clinical resources such as Micromedex and Lexicomp
• Call center and clinical pharmacy experience
• Ability to prioritize and manage multiple tasks in a changing environment
• Strong Microsoft Office skills