Pharmacist – Prior Authorization

Position: Pharmacist – Utilization Management

Location: Remote in CA

Duration: 9+ Month contract with possible extension

Pay Rate: $60/hr - $66/hr (depending on experience)

Job Description:

• The day-to-day job responsibilities in this role include reviewing Prior Authorization requests, utilizing P&T approved clinical coverage criteria, for clinical appropriateness and medical necessity within the regulatory turnaround times.

• All Prior Authorization cases are reviewed by our pharmacy technicians and approved when possible, utilizing our P&T approved coverage criteria.

• Any potential denials require a clinical review by a pharmacist before a final denial is sent to the provider/member.

• In addition, various potential approvals for high-cost medications require a clinical review by a pharmacist.

Job Requirement:

• PharmD.

• Unrestricted/clear California State Board of Pharmacy license

• Prior Authorization review experience (preferable) or managed care/ Pharmacy Benefit Management experience.

• Thorough clinical knowledge regarding therapeutic use of drugs.

• Excellent oral and written communication skills, proficient with computers and related software application, familiar with clinical compendia (AHFS-DI, etc.)

Job Types: Full-time, Contract, Temporary

Pay: $60.00 - $70.00 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Doctorate (Required)

Experience:

• Prior Authorization: 2 years (Required)

Work Location: Remote