Clinical UM Pharmacist: Prior Authorization Specialist

Healthfirst; New York (NY); Hybrid; USD 89.000 - 149.000; Vollzeit

Benefits dieser Stelle

Medical, dental and vision coverage

Incentive and recognition programs

Life insurance

401k contributions

Zusammenfassung

Healthfirst in New York seeks a Clinical UM Pharmacist to review prior authorization requests for medications under the medical benefit and to develop clinical criteria and medical policies for provider-administered medications.

You will stay current with literature and quality measures, present drug utilization reviews, and collaborate with prescribing physicians and Medical Directors to discuss the clinical rationale for review decisions.

Qualifikationen

• Pharmacy degree from an accredited school of pharmacy.
• ,

Aufgaben

• Monitor and review prior authorization requests for medications
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Kenntnisse

Clinical pharmacology

Clinical writing

Critical thinking

Billing knowledge

Ausbildung

Pharmacy degree

New York pharmacist license

Tools

Microsoft Outlook

Microsoft Word

PowerPoint

Microsoft Excel

Jobbeschreibung

Healthfirst in New York seeks a Clinical UM Pharmacist to review prior authorization requests for medications under the medical benefit and to develop clinical criteria and medical policies for provider-administered medications.

You will stay current with literature and quality measures, present drug utilization reviews, and collaborate with prescribing physicians and Medical Directors to discuss the clinical rationale for review decisions.