Address| Duties: | As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on Prior Authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, contract criteria, industry regulations and sound clinical judgment. The Prior Authorization pharmacist works independently with respect to reviews and decision making, with the support of senior pharmacist staff and supervisors. You will work as member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. Additional responsibilities include: |
| Skills: | 2 years pharmacy experience preferred Previous experience in managed care environment preferred |
| Education: | Current pharmacy license, Commonwealth of Pennsylvania preferred. Pharm D. preferred. |
| Skills: | Required
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
