Job Summary
A company is looking for a Pharmacist I to support operational strategies and review Prior Authorization requests for members.
Key Responsibilities
- Support and participate in Prior Authorization Reviews by utilizing formulary management guidelines and clinical programs
- Conduct PA Reviews for Multi-State Medicaid and Marketplace lines of business and provide written communications regarding decisions
- Collaborate with pharmacy technicians and assist Pharmacy PA call center staff to ensure operational efficiencies
Required Qualifications
- Bachelor's Degree in Pharmacy required; Doctor of Pharmacy (PharmD) preferred
- Minimum of three (3) years of retail pharmacy experience preferred
- Minimum of one (1) year managed care or Medicare experience preferred
- Current, unrestricted Registered Pharmacist (RPh) licensure required
- Ability to acquire additional State License(s) in multiple states as required
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