Seasonal Clinical Review Pharmacist

VirtualVocations
Huntington Beach, California, United States
Full-time
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A company is looking for a Clinical Review Pharmacist (Seasonal).Key ResponsibilitiesComplete prior authorization reviews for various lines of business and edit typesApply clinical judgment to evaluate member situations against medication policies and benefit designsTriage and respond to inquiries from pharmacy technicians, member support, and other departments regarding claims and prior authorization requestsRequired Qualifications, Training, and EducationBachelor's Degree in Pharmacy or PharmD required2-5 years of pharmacy experienceClear, active pharmacist licensePreferred : 1 year of experience with prior authorizations for commercial plansProficiency in drug literature and clinical trial evaluation using electronic databases

8 days ago
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