Remote Prior Authorization Pharmacist Judge Group Not Int
Position: Remote Prior Authorization Pharmacist The Judge Group Florida, United States Interested Not Int[...]
Our biggest client is seeking Remote Pharmacists in Michigan, Vermont, North Carolina, Alabama, Maine, and Georgia for a 6 month contract to hire role from November 11 to April 2025 (then based on your performance you can be hired on as a full time employee)! Must reside in one of the states listed and be a licensed pharmacist in that state!
Job Details:
Title: Remote Pharmacist (Prior authorization)
Location: FULLY REMOTE - no travel, all equipment provided.
- Must live and be licensed in one of these states: Michigan, Vermont, North Carolina, Alabama, Maine, and Georgia.Type of Engagement: Contract to hire - start date 11/11Duration: November 11th
- April 2025 (6 month contract then can be hired on permanently) Rate: Will be given over the phone! If interested please send me your resume and pharmacist license.
Specific Duties:
Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary.
Work is computer based and includes receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information.
Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations.
Organize workload, set priorities, complete assignments in a timely manner and utilize resources appropriately while complying with department program standards.
Perform all duties and functions in compliance with state and federal pharmacy laws and regulations.
Conform with and support department quality assurance and improvement guidelines.
Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of our client.
Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
Safety is paramount and its important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
Must have qualifications/experience:
Pharmacist License in the state of residence.
Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord).
Candidate must also have a secure workspace/office in their home.
Candidate must have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens).
Excellent Attendance is a must.
Hours:
Training hours will be 9-5:30pm EST Monday-Friday. No time off at all during training.
After training 10:30am-7pm EST Monday-Friday.
There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.Skills
Health Care Provider Hospitals And Health Care And Health And Human Services
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