Job title: Remote PBM Prior Authorization Pharmacist
Company: A-Line Staffing Solutions
Job description: Job Title: Remote PBM Prior Authorization PharmacistPay: $53.00 an hr | Bi-weeklyJob Type: RemoteShift Options:8am to 8pm EST/CST – 8hours per day M-F or 7am-330p EST/CST rotating weekendsRemote PBM Prior Authorization Pharmacist Overview:
- Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%)
- Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
- Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)
- Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (10%)
Remote PBM Prior Authorization Pharmacist Qualifications:
- Knowledge of Access, Power Point, and Visio is preferable.
- Must be computer literate – knowledge of Excel and Word.
- Licensed Registered Pharmacist in state of residence
- Minimum 1 year of experience although 2-5 years is preferred
- License Pharmacist
Remote PBM Prior Authorization Pharmacist Benefits:
- Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.
How to Apply:If you are interested in this position, please apply OR submit your resume to:Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425
Expected salary:
Location: Michigan
Job date: Thu, 10 Oct 2024 22:23:59 GMT
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