Job Description
Location: REMOTE
Salary: $60.00 USD Hourly - $64.00 USD Hourly
Description: Our client is currently seeking Remote Clinical Pharmacists/Prior Authorization!
Contract (Until 5/31/24)
Training is 8am-5pm. Monday- Friday. After training, schedule can range between +am-+pm, 5 days a week.
Overview:
This position is for a Clinical Pharmacist working in the Prior Authorization unit.. This is a call center based business segment. The pharmacist’s primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.
Responsibilities:
• Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
• Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of .
• Conform with and supports department quality assurance and improvement guidelines
• Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
• Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations
• Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
Qualifications & Requirements:
• High School/GED, Associates degree or 3-5 years of equivalent work experience
• 1 - 3 years of previous experience as a Pharmacist is preferred
• 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the phone and computer.
• 1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred
Warm Regards,
Contact: vsantis@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
Remote
About the Company:
Judge Group
The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.
The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.
Company Size:
5,000 to +,+++ employees
Industry:
Computer/IT Services
Founded:
1+70
Website:
https://www.judge.com
Salary: $60.00 USD Hourly - $64.00 USD Hourly
Description: Our client is currently seeking Remote Clinical Pharmacists/Prior Authorization!
Contract (Until 5/31/24)
Training is 8am-5pm. Monday- Friday. After training, schedule can range between +am-+pm, 5 days a week.
Overview:
This position is for a Clinical Pharmacist working in the Prior Authorization unit.. This is a call center based business segment. The pharmacist’s primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.
Responsibilities:
• Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
• Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of .
• Conform with and supports department quality assurance and improvement guidelines
• Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
• Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations
• Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
Qualifications & Requirements:
• High School/GED, Associates degree or 3-5 years of equivalent work experience
• 1 - 3 years of previous experience as a Pharmacist is preferred
• 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the phone and computer.
• 1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred
Warm Regards,
Contact: vsantis@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
Remote
About the Company:
Judge Group
The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.
The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.
Company Size:
5,000 to +,+++ employees
Industry:
Computer/IT Services
Founded:
1+70
Website:
https://www.judge.com
💡 Quick Summary
Seeking a career-building opportunity? The Clinical Pharmacist Patient Care position is now open for candidates interested in the Work from home Jobs sector. This role in New York City offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.
