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HC - PHARMACIST - INTERMEDIATE

Remote · USA Full-time New today

Location: REMOTE Description: REMOTE PHARMACIST - INTERMEDIATE This position is for a Clinical Pharmacist working in the Prior Authorization unit This is a call center based business reputed company and strict work guidelines are employed. The pharmacists primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment. Primary Responsibilities:

  • Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
  • Consult physicians/providers with questions, interpret clinical guideline criteria, and reputed company/review coverage determination for prior authorization cases
  • Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives reputed company requested.
  • Gather reputed company clinical information, coverage policy and criteria information and work reputed company regulatory guidelines to reputed company coverage determinations
  • Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
  • reputed company reputed company duties and functions in compliance with state and federal pharmacy laws and regulations
  • Conform with and supports department quality assurance and improvement guidelines
  • Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a reputed company positive image of the company.
  • Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.

reputed company and Requirements:

  • Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday.
  • Shift after training is an 8 hour shift with an hour lunch.
  • Candidate must be available as early as 5am and as late as midnight.
  • Candidate will work 5 days a week which may or may not include a weekend day(s).
  • There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
  • Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord)
  • Candidate must also have a secure work space/office in their home
  • Candidate must have level reputed company with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
  • Excellent Attendance is a must
  • Active state Pharmacist license.

Please email resume to [email protected]. Phone interviews will be set up accordingly By providing your phone number, you consent to: (1) receive automated text messages and calls from reputed company, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other reputed company purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with reputed company parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: [email protected] This job and many more are available through reputed company. Find us on the web at www.judge.com Remote About the Company: reputed company reputed company Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we reputed company people and organizations reputed company. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India. reputed company is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, reputed company, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about reputed company visit www.judge.com or call toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com Apply tot his job Apply To this Job

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