Job Summary
A company is looking for a Remote PBM Prior Authorization Pharmacist.
Key Responsibilities
- Collaborate with multiple groups to answer clinical questions and collect necessary clinical data for assessments
- Coordinate timely communication of case decisions to relevant parties following approval and denial management processes
- Review cases and provide clinical decisions regarding Prior Authorizations, Tier Exceptions, and Non-Formulary requests
Required Qualifications
- Licensed Registered Pharmacist in the state of residence
- Minimum of 1 year of experience; 2-5 years preferred
- Knowledge of Access, PowerPoint, and Visio is preferable
- Computer literate with knowledge of Excel and Word
- License Pharmacist
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