Remote PBM Prior Authorization Pharmacist

A-Line Staffing Solutions LLC; Atlanta (GA); Remote; USD 90,000 - 130,000; Full time

Job summary

A staffing company in Atlanta is looking for a Clinical Pharmacist for a remote role focused on reviewing prior authorization requests. The ideal candidate will collaborate with healthcare professionals and evaluate medical data. This position offers career growth potential within a Fortune 500 company and operates on a Monday to Friday schedule.

Qualifications

• Experience with prior authorization processes in a clinical setting.
• Strong communication skills for collaboration with medical personnel.

Responsibilities

• Review and complete prior authorization criteria based on policy.
• Collaborate with Technicians and Nurses to process requests.
• Conduct clinical reviews of medical data for prior authorization.

Job description

Overview

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Job Details

• Company: A-Line Staffing Solutions LLC – Atlanta, GA
• Job Type: Remote
• Shift Options: Mon-Fri 9:30am - 6:00pm local time; Training will be Mon-Fri 8:00am - 4:30pm CT

Responsibilities

• Reviewing and completing criteria based prior authorizations as per policy and procedure.
• Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions, collecting information.
• The clinical pharmacist is an operation-based role that conducts clinical reviews of medical data collected to perform prior authorization.
• Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design.
• The Prior Authorization Pharmacy Technician would be working for a Fortune 500 company and has career growth potential. This would be...

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