PharmD- Prior Authorizations - Generous Compensation

We are actively seeking multiple PharmD Pharmacists - Prior Authorizations to join our care team! This is 100% Remote!

If you’re interested in hearing more, please apply today!

Hours of operation 1000a-7pm CDT M-F.

Training will be 8-5pm CS Time and runs for 3 weeks

Responsibilities:

• Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs

• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations

• Participate in clinical quality audits (inter-rater reliability testing)

• Provide internal team support for escalations and questions from pharmacy technicians and physicians

• Develop and review clinical criteria

Requirements:

For experience, we are looking for someone with managed care experience performing prior authorizations or at least 5 years of experience as a licensed pharmacist (not including intern years). Residency years can count towards the 5 years as they would be licensed during residency. If the candidate completed a managed care residency, we can lower the min year requirement as that residency would specialize in managed care work. 

• 1+ years of experience in managed care performing clinical review/utilization management.

• Active, unrestricted pharmacist license

• Doctor of Pharmacy Degree

• Willingness to obtain licensure/training with new states, as needed

• Strong clinical skills and experience applying clinical criteria in clinical review setting

• Ability to obtain and maintain secure, high-speed and consistent internet connectivity

Bonus points:

• 2+ years of experience performing clinical review and experience writing clinical criteria

• Board Certification (i.e. BCPS, BCOP)

• Active, unrestricted California pharmacist license

• Residency training

• Experience practicing pharmacy in a clinical setting (i.e. retail, hospital, specialty, etc.)

Must live in one of the following states:

ALABAMA

ARIZONA

COLORADO

CONNECTICUT

DISTRICT OF COLUMBIA

FLORIDA

GEORGIA

ILLINOIS

IOWA

KENTUCKY

MARYLAND

MASSACHUSETTS

MICHIGAN

NEW HAMPSHIRE

NEW JERSEY

NEW MEXICO

NEW YORK

NORTH CAROLINA

OHIO

OREGON

PENNSYLVANIA

RHODE ISLAND

TENNESSEE

TEXAS

UTAH

VIRGINIA

WASHINGTON

Next Steps for Licensed Pharm Techs - Prior Authorizations:

If you’re interested in speaking in more detail, please apply today! We are scheduling interviews ASAP.