Remote Pharmacist - Prior Authorization | WFH

Job Overview

We are seeking a dedicated Prior Authorization Pharmacist to join our dynamic team in a remote capacity. This position is integral to the healthcare process, providing essential support in processing authorization requests while ensuring compliance with established service level agreements.

Key Responsibilities

• Collaborate with Technicians and Nurses to accurately process authorization requests and gather the necessary clinical or medical information for assessments.
• Ensure timely communication of case decisions to physicians, health plans, employers, patients, and other healthcare professionals, adhering to the approval and denial management processes.
• Handle inbound calls and manage escalations from physicians or patients related to prior authorization requests.
• Promote effective communication among team members and external stakeholders, including CVS Caremark, health plans, and employer groups.
• Stay informed about drug and disease states pertinent to the Specialty Medical programs administered through the Novologix platform.
• Perform additional related tasks and responsibilities as assigned.
  
  

Required Skills

• Strong interpersonal and communication skills to facilitate collaboration with healthcare professionals.
• Proficient in managing inbound calls and handling escalations efficiently.
• In-depth knowledge of clinical assessment procedures and familiarity with drug and disease states relevant to Specialty Medical programs.
  
  

Qualifications

• A minimum of a High School Diploma or GED is required.
• Active pharmacist license in good standing within your state of residence.
• 2 to 5 years of experience in a relevant field.
• Commitment to mandatory attendance during the first 90 days of employment.
• Availability for on-call and after-hours duties if required.
  
  

Career Growth Opportunities

This position is a contract assignment with the potential for permanent employment based on attendance, performance, and the evolving needs of the business. This provides a significant opportunity for professional development and career advancement within our organization.

Compensation And Benefits

• The compensation for this role is $53.00 per hour.
• Full-time employees are eligible for benefits after 90 days of employment.
• A 401(k) plan with company matching is available for full-time employees after one year of service.
  
  

If this Remote Prior Authorization Pharmacist position aligns with your professional skills and career aspirations, we invite you to reach out to us. We look forward to receiving your application!

Employment Type: Full-Time