A company is looking for a Clinical Review Pharmacist to support prior authorization reviews and collaborate with healthcare providers.
Key Responsibilities
Evaluate and interpret clinical guideline criteria for coverage determinations
Conduct outbound clinical consult calls with healthcare providers and patients
Document prior authorization cases and make clinical determinations in accordance with guidelines
Required Qualifications
Pharmacy degree from an accredited school of pharmacy
Registered Pharmacist with a state license in good standing
PGY1 Managed Care Residency preferred
Proficient in Microsoft Office Suite and clinical resources
Ability to work independently and manage time effectively
Clinical Pharmacist • Denver, Colorado, United States