Clinical Pharmacist: Appeals & Care Quality Specialist

Healthcare Support Staffing; Philadelphia (Philadelphia County); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Fun and positive work environment

Medical benefits offered

Job summary

A national healthcare staffing firm seeks a licensed Pharmacist for a rewarding role in Philadelphia. Key responsibilities include processing insurance coverage requests, consulting with healthcare providers on clinical guidelines, and participating in quality improvement projects. Candidates must possess a Bachelor's in Pharmacy or a PharmD, with 1-3 years of experience and strong communication skills. The position offers a fun work environment and medical benefits.

Qualifications

• Clear and active Pharmacist license in PA.
• 1-3 years experience in pharmacy.

Responsibilities

• Process requests for insurance coverage rejects and determine cause of appeal.
• Consult with physicians/providers on clinical guideline criteria.
• Participate in quality improvement projects.

Skills

Strong customer service

Computer skills

Communication skills

Education

Bachelor’s degree in Pharmacy or PharmD

Job description

A national healthcare staffing firm seeks a licensed Pharmacist for a rewarding role in Philadelphia. Key responsibilities include processing insurance coverage requests, consulting with healthcare providers on clinical guidelines, and participating in quality improvement projects. Candidates must possess a Bachelor's in Pharmacy or a PharmD, with 1-3 years of experience and strong communication skills. The position offers a fun work environment and medical benefits.