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Tennessee Licensed Coverage Review Pharmacist

VirtualVocations
Madison, Wisconsin, United States
Full-time

A company is looking for a Coverage Review Pharmacist licensed in Tennessee.Key ResponsibilitiesPerform prospective and retrospective coverage reviews and appeals per regulationsServe as a clinical resource and drug information specialist to healthcare providersBuild and maintain decision trees in the prior authorization systemRequired QualificationsDoctor of Pharmacy (PharmD) degree3 years of clinical experience or completion of a 1-year residency and / or board certificationLicensed in Tennessee to practice Pharmacy or eligible for licensure within 120 days of employmentSolid understanding of regulatory guidelines (FDA, NCQA, EQRO, CMS)Competency in compendia navigation and research

5 hours ago
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