5 REMOTE Pharmacist- PBM Pharmacist Jobs in Orlando, FL
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REMOTE Pharmacist- PBM Pharmacist
$136k-154k (estimate)
Full Time
2 Days Ago
Remoteworker Us is Hiring a Remote REMOTE Pharmacist- PBM Pharmacist
Job DescriptionJob Description
A-Line Staffing is now hiring REMOTE PBM Prior Authorization Pharmacist! The REMOTE PBM Prior Authorization Pharmacist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.REMOTE PBM Prior Authorization Pharmacist Compensation
A-Line Staffing is now hiring REMOTE PBM Prior Authorization Pharmacist! The REMOTE PBM Prior Authorization Pharmacist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.REMOTE PBM Prior Authorization Pharmacist Compensation
- Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
- This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
- The required availability for this position is (Shifts assigned after training)
- 1. Tuesday-Saturday 8am-4:30pm CST
- 2. Sunday-Thursday 8am-4:30pm CST
- 3. Monday-Friday 9:30am-6pm CST
- The clinical pharmacist is an operation-based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.
- The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
- This role will work from supported systems and take inbound calls from physician or members regarding their pending approved or denied prior authorizations.
- Collaborates with the CRU Technician to process referrals including answering clinical questions collecting appropriate clinical/ medical data needed to perform clinical assessments and reviews as per the healthplan/employer agreed criteria within the designated service level agreements.
- Coordinates timely communication of case decision to physician health-plan/employer patient and other healthcare professionals following agreed upon approval denial management processes.
- Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
- Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit
- 1 year of recent experience with PBM prior authorization
- Active and in good standing Pharmacist license in the state in which you sit
- Attendance is mandatory for the first 90 days
Job Summary
JOB TYPE
Full Time
SALARY
$136k-154k (estimate)
POST DATE
06/27/2024
EXPIRATION DATE
07/26/2024
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