Remote Pharmacist I, Clinical Prior Authorization
Navitus
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Benefits offered by this job
Job summary
Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to join our team. You will perform prior authorizations, participate in drug utilization review, and support customer care with pharmacist-intervention calls, interfacing with physicians, pharmacists, and specialty providers to optimize member care.
The role requires a PharmD or Bachelor of Pharmacy and an active license, with clinical or managed care experience.
Qualifications
- Bachelor’s degree in Pharmacy or PharmD required.
- Current, unrestricted Pharmacist license in state of residence or eligibility for reciprocity within 4 months.
- Two years of clinical or managed care experience preferred.
- Strong knowledge of PBM, formulary management, pharmacy claims and managed care principles.
Responsibilities
- Perform Prior Authorizations and contribute to Drug Utilization Review programs.
- Assist in Coverage Determination processes and provide clinical input to formulary decisions.
- Communicate clinical information to physicians, pharmacists and specialty providers.
- Support program management and development with clinical data and surveys.
Skills
Education
Tools
Job description
Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to join our team. You will perform prior authorizations, participate in drug utilization review, and support customer care with pharmacist-intervention calls, interfacing with physicians, pharmacists, and specialty providers to optimize member care.
The role requires a PharmD or Bachelor of Pharmacy and an active license, with clinical or managed care experience.
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