Remote Prior Authorization Pharmacist Id-3917
Our biggest client is seeking Remote Pharmacists in Michigan, Vermont, North Carolina, Alabama, Maine, and Georgia for a 6 month contract to hire role from November 11 to April 2025 (then based on your performance you can be hired on as a full time employee)! Must reside in one of the states listed and be a licensed pharmacist in that state!
Job Details:
Title: Remote Pharmacist (Prior authorization)
Location: FULLY REMOTE - no travel, all equipment provided. - Must live and be licensed in one of these states: Michigan, Vermont, North Carolina, Alabama, Maine, and Georgia.
Type of Engagement: Contract to hire - start date 11/11
Duration: November 11th- April 2025 (6 month contract then can be hired on permanently)
Rate: Will be given over the phone! If interested please send me your resume and pharmacist license.
Specific Duties:
• Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
• Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
• Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
• Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
• Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations
• Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
• Conform with and supports department quality assurance and improvement guidelines
• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of our client.
• Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
• Safety is paramount and it’s important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
Must have qualifications/experience:
*Pharmacist License in the state of residence
*Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord)
*Candidate must also have a secure workspace/office in their home
*Candidate must have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
*Excellent Attendance is a must
Hours:
*Training hours will be 9-5:30pm EST Monday-Friday. No time off at all during training.
* After training 10:30am-7pm EST Monday-Friday
* There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
