This position involves working as a Clinical Pharmacist within the Prior Authorization unit. The role is primarily centered around reviewing Prior Authorization cases and making coverage determinations based on clinical criteria and plan design.
The work environment is fast-paced and dynamic, with a focus on computer-based tasks.
This position will be on-site in Savannah, GA.
Primary Responsibilities :
- Receive phone calls from prior authorization pharmacy technicians and / or providers to provide clinical information.
- Consult with physicians / providers, interpret clinical guideline criteria, and review coverage determinations for prior authorization cases.
- Collaborate with pharmacy technicians and physicians to advise on appropriate formulary alternatives for medications.
- Analyze complex clinical information, coverage policies, and criteria to make informed coverage determinations.
- Organize workload, set priorities, and complete assignments in a timely manner while adhering to department standards.
- Ensure compliance with state and federal pharmacy laws and regulations.
- Support department quality assurance and improvement guidelines.
- Build positive relationships with coworkers, internal customers, and other departments through excellent customer service.
Work Schedule :
- Training time is 8 : 00 am to 5 : 00 pm, Monday to Friday (subject to change).
- After training, the work schedule can range between 9 am and 9 pm.
- Candidates will work 5 days a week, which may include weekends based on business needs.
- Overtime and holiday work may be required.
Qualifications :
- Bachelor's Degree in Pharmacy or Doctorate in Pharmacy (Pharm D)
- Previous experience as a Pharmacist (1-3 years) is preferred.
- Customer service experience (1 year) analyzing and solving customer problems, or experience in an office setting using telephone and computer instruments, is preferred.
- Proficiency in PC skills (MS Word, Excel) is desirable.
Audrey SorberHealthcare style "">
Emergency Medicine Clinical Pharmacist
Do you have the career opportunities as an Emergency Medicine Clinical Pharmacist you want with your current employer? We have an exciting opportunity for you to join Memorial Health University Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. If y...
Clinical Pharmacist
Years Clinical Pharmacy - Preferred Completion of post-graduate residency in clinical pharmacy practice - Preferred. Under the general direction of the Manager of Inpatient Pharmacy Programs, provides pharmaceutical care according to standards established by the Department of Clinical Pharmacy to al...
Clinical Pharmacist
This position involves working as a Clinical Pharmacist within the Prior Authorization unit. The role is primarily centered around reviewing Prior Authorization cases and making coverage determinations based on clinical criteria and plan design. Receive phone calls from prior authorization pharmacy ...
Clinical Pharmacist
Under the general direction of the Manager of Inpatient Pharmacy Programs, provides pharmaceutical care according to standards established by the Department of Clinical Pharmacy to all patients. Years Clinical Pharmacy - Preferred. Completion of post-graduate residency in clinical pharmacy practice ...
Reserve Pharmacist
THE ARMY HEALTH CARE ADVANTAGE.As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career.Feel inspired with great case diversity and over 40,000 visits coming into the U.Army medical facilities and clinics around the world every day.See and ...
Senior Manager, Operations (s)
Operations, Manager, Senior, Operation, Manufacturing. ...
Pharmacy Technician Prn
An active Registered Pharmacy Technician license in the state which you practice, in accordance with law and regulation is required. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Pharmacy Technician PRN opening. You will accur...
Assistant Pharmacy Manager
And, with growth potential of up to 50 new pharmacies per year, our promote from within culture allows for a rewarding career path into any one of the following areas: retail management, specialty pharmacy, out-patient hospital pharmacy, corporate or centralized pharmacy operations. In addition to t...
Pharmacy Technician In Training
Pharmacy associates focus on the needs of our customers as they entrust us with their prescriptions and health needs. ...
Pharmacy Relationship Manager
As a Pharmacy Relationship Manager, you will help drive the growth of our company through building and retaining customer relationships. We are now seekingPharmacy Relationship Managers in your area!. What does a Pharmacy Relationship Manager do?. We are currently hiring Pharmacy Relationship Manage...