Pharmacist: Prior Authorization & MTM Specialist

Integrated Resources Inc.; Philadelphia (Philadelphia County); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading staffing firm is seeking a Pharmacy Technician in Philadelphia. Responsibilities include reviewing physician requests, handling provider inquiries, supporting fraud oversight, and ensuring compliance with pharmacy protocols. Ideal candidates should have a Pharm D. and relevant pharmacy experience.

Qualifications

• 2 years pharmacy experience preferred.
• Previous experience in managed care environment preferred.
• MTM/DTM certificate training preferred.

Responsibilities

• Handles calls and correspondence from providers; responds to inquiries, complaints, and reconsiderations.
• Reviews physician inquiries for pharmacy pre-authorization and medical necessity requests.
• Supports Fraud and Abuse program system oversight.

Skills

Communication

Problem Solving

Attention to Detail

Education

Pharm D.

Current pharmacy license

Job description

A leading staffing firm is seeking a Pharmacy Technician in Philadelphia. Responsibilities include reviewing physician requests, handling provider inquiries, supporting fraud oversight, and ensuring compliance with pharmacy protocols. Ideal candidates should have a Pharm D. and relevant pharmacy experience.