Overview
Direct message the job poster from Managed Staffing, Inc.
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 CVS Caremark supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.
Responsibilities
- Conduct clinical reviews of medical data to perform prior authorization for specialty medications.
- Apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
- Work from CVS Caremark supported systems and respond to inbound calls from physicians or members regarding pending, approved, or denied prior authorizations.
Qualifications
- 2+ years of clinical experience with specialty medications or clinical review of prior authorization requests.
- Experience using MS Office and other Windows-based computer applications; strong organizational skills, interpersonal skills, and attention to detail.
- Active pharmacist license in state of residence in good standing (required).
Seniorities
Employment type
Job function
Industries
- Staffing and Recruiting
- Hospitals and Health Care
- Hospitals