Texas Licensed Clinical Pharmacist

Job Summary

A company is looking for a RPh Operations Advisor - Aetna Medical Prior Authorizations.

Key Responsibilities

• Conduct reviews of medical data for prior authorization of specialty medications
• Apply clinical knowledge to plan approved criteria for case reviews
• Handle inbound calls from physicians or members regarding prior authorizations

Required Qualifications

• Active pharmacist license in state of residence in good standing
• 2+ years clinical pharmacist experience
• 1+ years experience issuing clinical determinations within Prior Authorizations
• Current experience with Novologix system and Aetna Medical Prior Authorization Operations
• Bachelor of Pharmacy or PharmD degree