Pharmacist - Prior Authorization

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Bachelor's degree in pharmacy or Pharm D required., At least two years of experience as a pharmacist., Active state license in good standing is required., Strong organizational, interpersonal, and detail-oriented skills are important..

Key responsibilities:

  • Support Medicare Part D members and providers with pharmacy benefit requests.
  • Ensure accurate setup of cases and review clinical information for decision-making.
  • Perform outreach to providers for additional information as needed.
  • Complete timely and accurate documentation of all Medicare Part D requests in compliance with guidelines.

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US Tech Solutions Large http://www.ustechsolutions.com
1001 - 5000 Employees
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Job description

Job Description:
As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.


Responsibilities:
  • You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
  • This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
     
Experience:
  • Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization.
  • Appropriate state license required.
  • Basic computer skills required.
  • Strong organizational skill, interpersonal skills and detail orientation important for this position.
  • Prior authorization experience is required.
  • Medicare Part D
  • Pharmacy Benefit Management
  • Appropriate state license required.
     
Education:
Bachelor's degree in pharmacy or Pharm D. required with at least two years’ experience as a pharmacist. Must have an active license in good standing.
 
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
 
US Tech Solutions is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Computer Literacy
  • Social Skills
  • Organizational Skills
  • Detail Oriented

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