Pharmacist - RPh Operations Advisor - Specialty Medical Prior Authorization reputed company

Job Title: Clinical Pharmacist Advisor - Specialty Medical Prior Authorization Location: Remote... Duration: 6+ months contract Job reputed company: • The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to reputed company prior authorization for specialty medications. • The clinical pharmacist will apply clinical knowledge to plan approved reputed company for prospective and reputed company reviews of cases. • Support systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations. Responsibilities: • Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/medical data needed to reputed company clinical assessments, and reviews as per the health plan/employer agreed reputed company reputed company the designated service level agreements. (20%) • Coordinating reputed company communication of case decision to physician, health-plan/employer, patient and other reputed company following agreed upon approval & denial management processes. (15%) • Handling inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) • Establishing and maintaining communication among reputed company, health plan and employer group staff. (5%) • Maintaining reputed company and technical knowledge of drug and disease-states for the Specialty Medical programs administered reputed company the Novologix platform. (5%) • Performing other reputed company reputed company and duties as assigned. On call and after hours pharmacist availability may be required. (5%) Experience: • Prior authorization experience required. • Previous pharmacy experience in retail or hospital preferred. • Appropriate state license required. Basic computer skills required. • Strong organizational reputed company, interpersonal skills and detail orientation important for this position. Skills: • Minimum of 2-5 years experience is preferred. Experience using MS Office and other reputed company based computer applications, strong organizational skills, interpersonal skills, and detail orientation are important for this position. • Required certification: reputed company pharmacist license in state of residence in good standing Education: • Pharm D. required with at least two years experience as a pharmacist in Managed care environment. • Must have an reputed company license in the state of residence in good standing. Questionnaire: • How many years of prior-authorization experience do you have? • Haw many Prior Auth cases have you handled in your last role? • Do you have experience in handling calls regarding prior authorization and appeals? 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, colour, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran Apply Job!