Fully Remote Pharmacist (Prior Authorizations)

Green Key Resources; United States; Vor Ort; USD 68.191 - 97.120; Vollzeit

Zusammenfassung

Green Key Resources is seeking a licensed pharmacist for a contract role through April 2027. The role requires 3+ years of pharmacy experience, Doctor of Pharmacy, and PBM/Prior Authorization expertise.

You will review authorizations and appeals, discuss clinical rationale with prescribers, and ensure safe pharmaceutical use. Shifts include at least one weekend, with training first, then options for four 10-hour days or five 8-hour days.

Qualifikationen

• Licensed pharmacist with 3+ years of experience.
• Doctor of Pharmacy Degree required.
• Experience with Prior Authorizations.
• Willingness to obtain licensure in new states as needed.

Aufgaben

• Review and render decisions on authorizations and appeals for pharmacy drug requests.
• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations.
• Participate in clinical quality audits and inter-rater reliability testing.
• Provide internal team support for escalations and questions.
• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Kenntnisse

Prior Authorization experience

Licensed pharmacist

Clinical decision making

Ausbildung

Doctor of Pharmacy Degree

Jobbeschreibung

Contract role through April 2027 will most likely extend

• Must be Doctor of Pharmacy
• Must have PBM/Prior Authorization experience
• Must be willing to work one Saturday or Sunday after training- Business hours option for 5 8 hour days or 4 10 hour days after training
• Must have no time off needed in first 4-6 weeks of training and busy season January to April 2027

60 per hour nonnegotiable

Primary Duties and Responsibilities

• Review and render decisions on authorizations and appeals for pharmacy drug requests
• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations
• Participate in clinical quality audits and inter-rater reliability testing
• Provide internal team support for escalations and questions
• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• 3+ years of experience as a licensed pharmacist
• Doctor of Pharmacy Degree
• Willingness to obtain licensure/training with new states, as needed
• Must have experience with Prior Authorizations

Contract through April 2027 (subject to business needs)

Shifts

• At least one weekend shift per week, such as every Saturday or every Sunday
• Those working weekends have the option to do four 10-hour shifts or five 8-hour shifts
• Shift during training will be M-F; switch to weekend shift will be around 2 months after start date
• Training will be in the format of group class training
• Group class training will be 4-6 weeks
• Request for no PTO during group training