Remote Pharmacist – Prior Authorization Specialist

TechLink+; Philadelphia (Philadelphia County); Hybride; USD 83 000 - 96 000; Plein temps

Résumé du poste

TechLink+ is seeking a licensed Pharmacist for a contract role in Philadelphia, PA. The Pharmacist will determine prior authorization requests for pharmaceutical coverage, ensuring medical necessity and benefit decisions are aligned with guidelines.

On-site duties with remote flexibility (EST) are available. Responsibilities include clinical support to the customer care center, engaging providers for determinations, and contributing to Fraud and Abuse oversight.

Qualifications

• No experience required; Prior Authorization or Coverage Determination experience preferred.

Responsabilités

• Make determinations on prior authorization requests for pharmaceutical coverage.
• Provide clinical support to the customer care center.
• Engage providers to support determinations.
• Support Fraud and Abuse program oversight.
• Stay current with industry trends and regulatory changes.
• Follow established pharmacy guidelines and regulations.

Connaissances

Prior Authorization

Coverage Determination

Formation

PharmD preferred

Pharmacist license

Outils

Windows PC basics

Description du poste

TechLink+ is seeking a licensed Pharmacist for a contract role in Philadelphia, PA. The Pharmacist will determine prior authorization requests for pharmaceutical coverage, ensuring medical necessity and benefit decisions are aligned with guidelines.

On-site duties with remote flexibility (EST) are available. Responsibilities include clinical support to the customer care center, engaging providers for determinations, and contributing to Fraud and Abuse oversight.