Role overview

Qualifications

Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization
Appropriate state license required
Bachelor's degree in pharmacy or Pharm D
At least two years’ experience as a pharmacist

Responsibilities

Ensure cases are accurately set up for members
Review clinical information for decisioning requests
Perform outreach to providers for more information when needed
Ensure accurate decisions comply with compendia and Medicare guidance

Key facts

Remote from: Rhode Island (USA)
Fixed term
Pharmacist
English

Hard skills

Prior Authorization Medicare Part D Pharmacy Benefit Management Hospital Pharmacy

Other skills

Organizational Skills
Social Skills
Detail Oriented
Basic Internet Skills

About the company

US Tech Solutions

Staffing & Recruiting

USTECH SOLUTIONS is the largest privately owned diversity workforce partner with a global footprint. For 20+ years, we have partnered with leading MSPs and some of the world’s largest enterprises to deliver a flexible workforce. We serve Fortune 500 giants and growing businesses alike, reinventing the role of humans in a digital workforce. ‘Reinventing Human’ is about connecting you with top talent and seamlessly integrating new hires into your programs through our next gen AI powered Talent platforms. As the largest private diversity supplier in the US, we champion inclusion and unlock hidden potential. We work with leading MSPs and are a trusted strategic partner to the world’s top brands. At USTECH SOLUTIONS, we're inverting the talent hiring pyramid by offering a range of solutions from curated talent pools, workforce management services, and IT services resourcing to IC compliance. Our legacy and close affinity to the computing industry has equipped us with the expertise and vision to provision AI platform solutions that help organizations to innovate faster. Considering Statement of Work? Meet US Tech Digital (ustechdigital.com). We're helping businesses achieve digital leadership through our tailored SOW solutions, utilizing market-leading technology products and our proprietary in-house developed platform solutions. Explore our full range of services and solutions by visiting our website: ustechsolutions.com

Company details

Company typeLarge

IndustryStaffing & Recruiting

Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Location: Fully remote

Duration: 06+ months contract

Note:

Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience.
Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday and 7am - 430pm EST Sat and Sunday. Set Rotation.

Job Description:

As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits.

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 is required.
Appropriate state license required.
Basic computer skills required.
Strong organizational skill, interpersonal skills and detail orientation important for this position.
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, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.