Job Summary
A company is looking for a Clinical Pharmacist - Prior Authorization.
Key Responsibilities
- Collaborates with team members to process referrals and perform clinical assessments
- Evaluates prior authorization requests and renders coverage determinations based on clinical criteria
- Communicates decisions regarding cases to healthcare providers, health plans, and patients efficiently
Required Qualifications
- 2+ years of experience as a pharmacist in a PBM setting
- Current experience with commercial Prior Authorizations in Caremark PBM
- Active pharmacist license in good standing in the state of residence
- Bachelor's of Science in Pharmacy or Pharm.D
- Experience using clinical resources such as Micromedex and Lexicomp
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