Remote Pharmacist I, Clinical Prior Authorization

Navitus; Raleigh (NC); A distancia; USD 110.000 - 140.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

PTO 20 days

Parental leave 4 weeks

Holidays 9

401K match 5%

Adoption assistance

FSA

Education assistance

Professional membership assistance

Referral bonus up to $750

Descripción de la vacante

Navitus Health Solutions seeks a Pharmacist I, Clinical Prior Authorization to join its team in a dynamic PBM environment. You will perform prior authorizations, contribute to drug utilization reviews, and support clinical calls requiring pharmacist intervention.

You will interface with physicians, pharmacists, and specialty providers to discuss beneficiaries' benefits, therapies, and supporting data for program management and development.

Formación

• Bachelor's or PharmD in Pharmacy; active pharmacist licensure in state of residence.
• Two years' clinical or managed care pharmacy experience preferred.
• Knowledge of PBM industry, formulary management, and pharmacy claims helpful.
• Strong clinical judgment and ability to translate information for clinical systems.

Responsabilidades

• Perform Prior Authorizations and participate in Drug Utilization Review.
• Interface with physicians, pharmacists, and specialty providers about patient benefits and therapy.
• Support clinical content and program development for Navitus programs.
• Ensure accuracy and compliance in clinical documentation and communications.

Conocimientos

Clinical decision making

PBM industry knowledge

Communication with prescribers

Problem solving

Team collaboration

Educación

Pharmacy degree (BS or PharmD)

Pharmacist license (state)

Herramientas

MS Word

Excel

PowerPoint

Micromedex

Medline

Descripción del empleo

Navitus Health Solutions seeks a Pharmacist I, Clinical Prior Authorization to join its team in a dynamic PBM environment. You will perform prior authorizations, contribute to drug utilization reviews, and support clinical calls requiring pharmacist intervention.

You will interface with physicians, pharmacists, and specialty providers to discuss beneficiaries' benefits, therapies, and supporting data for program management and development.