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Prior Authorization Pharmacist
Ref No.: 18-17897
Location: Sunrise, Florida
Summary:
  • Prior Authorization Pharmacist will perform clinical review of prior authorization requests.
  • He/she will Utilize clinical experience and skills to apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render appropriate coverage determinations.

Requirements:
  • Must have a current unrestricted state pharmacist license in state of residence; RPh or Pharm.D degrees
  • This is a clinical position, so candidates must be an independent-thinker, dependable, and reliable to perform job expectations and meet production metrics as they will be measured upon that.
  • All training will be remote Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding (please include basic outlook and WORD proficiency testing scores)
  • Effective communication skills, both verbal and written, as they will be interacting with other healthcare professionals.
  • Must have HIPPA compliant home office with computer and high speed internet.
  • Pharmacist must use own phone and computer for training and until computers and phones are received.
  • Phones provided are VPN and must be connected directly to modem.
  • There will be potential to convert to FTE.
  • There may also be potential to work reduced hours or return after taking the summer off for those with good quality and production.

Work Hours:
  • This is a work from home position from anywhere in US, however must be available to train 9-5:30 ET M-F for first 4 weeks, then schedule will be based on business need and time zone.
  • Saturday or Sunday rotation will be required after training (max every 3rd weekend, day off in same pay period)