Remote Pharmacist I – Clinical Prior Authorization

Navitus; Olympia (WA); Presencial; USD 110.000 - 140.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Paid time off

Parental leave

Paid holidays

401K company match

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Referral Bonus Program

Descripción de la vacante

Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to perform Prior Authorizations and Drug Utilization Review across assigned clinical programs. You will collaborate with physicians, pharmacists, and PBM partners to ensure appropriate, cost-effective therapy and high-quality patient care.

The role requires a PharmD or BS in Pharmacy with licensure, plus clinical or managed care experience.

Formación

• Bachelor’s degree in Pharmacy or Pharm D. Must maintain licensure as a Pharmacist.
• Two years’ clinical or managed care pharmacy experience preferred.
• Knowledge of PBM, formulary management, and pharmacy claims preferred.

Responsabilidades

• Support clinical programs such as Health Management and Formulary development.
• Perform Prior Authorization and Drug Utilization Review activities.
• Interface with physicians, pharmacists, and providers regarding benefits and interventions.
• Review health surveys and utilization data for program management and development.
• Complete annual URAC training requirements.
• Educate clients, members, and staff on clinical issues.

Conocimientos

Clinical knowledge

Communication

Problem solving

Attention to detail

MS Word/Excel/PowerPoint

Educación

Bachelor’s degree in Pharmacy or Pharm D

Herramientas

Micromedex

Medline

Internet

Descripción del empleo

Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to perform Prior Authorizations and Drug Utilization Review across assigned clinical programs. You will collaborate with physicians, pharmacists, and PBM partners to ensure appropriate, cost-effective therapy and high-quality patient care.

The role requires a PharmD or BS in Pharmacy with licensure, plus clinical or managed care experience.