Offer summary

Qualifications:

Pharm D. degree with at least two years of experience in a managed care environment., Active pharmacy license in the state of residence in good standing., Must have managed care experience and Medicare/Medicaid knowledge., Minimum of 6 months of prior authorization experience, with pharmacy benefit management (PBM) expertise..

Key responsibilities:

Review and complete prior authorization criteria according to policy and procedure.

Maintain excellent interpersonal skills when interacting with patients and providers.

Handle prior authorization cases, including calls regarding authorization and appeals.

Ensure compliance with organizational policies and maintain detailed documentation.

Job description

Job Description:

Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.

Responsibilities:

This individual must have excellent interpersonal skills.
Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure.

Experience:

Prior authorization experience required.
Previous pharmacy experience in retail or hospital preferred.
Appropriate state license required. Basic computer skills required.
Strong organizational skill, interpersonal skills and detail orientation important for this position.

Skills:

MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge.
MUST HAVE 6 months of experienced with Prior Authorization(required).
MUST HAVE experience with Medicare Part D
Must Have Pharmacy Benefit Management (PBM) experience.

Education:

Pharm D. required with at least two years experience as a pharmacist in Managed care environment.
Must have an active license in the state of residence in good standing.

Questionnaire:

How many years of prior-authorization experience do you have?
Haw many Prior Auth cases have you handled in your last role?
Do you have experience in handling calls regarding prior authorization and appeals?

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.

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