Prior Authorization Pharmacist: Clinical Review & UM

JobRx, Inc.; Tysons (VA); On-site; USD 95,000 - 115,000; Full time

Job summary

JobRx, Inc. is seeking a Prior Authorization Pharmacist to facilitate clinical evaluations of medication therapies and strategies for Utilization Management. The role involves collaboration with medical providers and internal stakeholders to improve medication therapy processes and outcomes.

Qualified candidates will possess a PharmD or B.S. in Pharmacy, have a minimum of 4 years experience in clinical pharmacy, and demonstrate strong communication skills and analytical capabilities.

Qualifications

• Experience in coordinating and collaborating within work teams.
• Ability to perform clinical reviews using compendia and clinical trial data.
• Managed care pharmaceutical service experience is a plus.

Responsibilities

• Evaluate medication therapy using established criteria and compendia.
• Engage in peer discussions with medical providers regarding prior authorization reviews.
• Collaborate in refining consultation scripting based on feedback.

Skills

Clinical evaluation

Strong research and implementation skills

Analytical skills

Team orientation

People skills

Education

PharmD or B.S. in Pharmacy

State licensure as a pharmacist

4 years' experience in clinical pharmacy

Tools

Microsoft Office

Job description

JobRx, Inc. is seeking a Prior Authorization Pharmacist to facilitate clinical evaluations of medication therapies and strategies for Utilization Management. The role involves collaboration with medical providers and internal stakeholders to improve medication therapy processes and outcomes.

Qualified candidates will possess a PharmD or B.S. in Pharmacy, have a minimum of 4 years experience in clinical pharmacy, and demonstrate strong communication skills and analytical capabilities.