Per Diem Pharmacist — Clinical Review & PA Expert

EmpiRx Health; United States; Hybrid; USD 61,992 - 96,432; Part time

Job summary

A healthcare management firm in the United States seeks a Per Diem Pharmacist to ensure clinical prior authorization and appeal determinations are delivered effectively. The ideal candidate will have a Pharm.D. and a minimum of 3 years of pharmacy experience in clinical settings. The role involves clinical review, oversight, and collaboration with healthcare professionals while utilizing pharmacy management software for documentation.

Qualifications

• Minimum of 3 years of pharmacy experience in clinical, PBM, or managed care settings.
• Prior experience with prior authorization, utilization management, or health plan operations preferred.

Responsibilities

• Act as a clinical expert on prior authorization review and evaluation.
• Monitor and proactively identify clinical interventions for savings.
• Provide guidance and support to members and providers regarding clinical inquiries.

Skills

Strong clinical judgment and analytical thinking skills

Exceptional written and verbal communication

High attention to detail and accuracy in documentation

Excellent organizational and multitasking abilities

Proficient in Microsoft Office Suite and pharmacy systems

Ability to work independently and collaboratively

Education

Pharm.D. degree from an accredited college of pharmacy

Job description

A healthcare management firm in the United States seeks a Per Diem Pharmacist to ensure clinical prior authorization and appeal determinations are delivered effectively. The ideal candidate will have a Pharm.D. and a minimum of 3 years of pharmacy experience in clinical settings. The role involves clinical review, oversight, and collaboration with healthcare professionals while utilizing pharmacy management software for documentation.