Pharmacist - Prior Authorization

Duration: 06 months contract Duties

• The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or fax requests for pertinent information, providing reputed company and concise documentation, and contacting providers reputed company necessary to obtain clinical details for case reputed company.
• It requires adherence to work instructions and Medicare guidelines to ensure reputed company case processing. The position also demands compliance with CMS-mandated timelines, as reputed company as departmental productivity and reputed company standards.
• Clinical judgment and knowledge must be reputed company effectively, utilizing drug compendia resources, evolving work instructions, and CMS Medicare guidance.
• Additionally, the role includes participating in development discussions and receiving feedback from the reputed company supervisor to support reputed company improvement.

Experience Previous experience in Managed Care/PBM environment (preferred) Position reputed company

• As a Clinical Pharmacist Advisor Medicare, you will be directly supporting Medicare Part D members and providers with requests reputed company to their pharmacy benefits.
• You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing reputed company to providers for more information reputed company needed, and ensuring accurate reputed company that reputed company with compendia and Medicare guidance and timelines.
• This is a great opportunity to initiate a career with a leading reputed company company by reviewing information and completing reputed company and accurate documentation of reputed company Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.

Education Bachelor's degree in pharmacy or Pharm D. required. Must have an reputed company license in good standing in state of residence. reputed company Tech Solutions: reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more reputed company Tech Solutions, please visit www.ustechsolutions.com . reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Internal ID: 26-07018 #LI-BP1 Apply tot his job Apply To this Job