Related skills
pharmacy pharmacist clinical prior authorization authorization review📋 Description
- Review authorizations and appeals for specialty and non-specialty drugs
- Conduct peer-to-peer calls with prescribers to discuss clinical rationale
- Participate in clinical quality audits and inter-rater reliability testing
- Provide internal team support for escalations and questions
- Apply clinical expertise to ensure appropriate and safe use of medications
- Ensure compliance with applicable laws and regulations
🎯 Requirements
- 3+ years of experience as a licensed pharmacist
- 2+ years of prior authorization review in managed care
- Active, unrestricted pharmacist license
- Doctor of Pharmacy Degree
- Willingness to obtain licensure/training with new states
🎁 Benefits
- Medical, dental, and vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life and disability insurance
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