Texas Licensed Clinical Pharmacist

Job Summary

A company is looking for a Clinical Pharmacist - Commercial Prior Authorization.

Key Responsibilities

• Collaborate with team members to process referrals and perform clinical assessments based on health plan criteria
• Evaluate prior authorization requests and render coverage determinations while ensuring compliance with protocols
• Communicate decisions regarding cases to healthcare providers and maintain professional knowledge of drug and disease states

Required Qualifications

• 2 years of experience as a pharmacist in a PBM setting
• Experience with commercial Prior Authorizations in a PBM environment
• 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