Remote Pharmacist - Prior Authorization Specialist (EST)

TechLink+; Philadelphia (Philadelphia County); On-site; USD 70,000 - 110,000; Part time

Job summary

PerformRx seeks a licensed Pharmacist (R) in Philadelphia, PA for a contract role to determine prior authorization requests for pharmaceutical coverage. The pharmacist will work with a team to ensure medical necessity and benefit decisions align with guidelines and regulations, with a rotating weekend schedule if needed.

Responsibilities include clinical support for the Customer Care Center, provider discussions to support determinations, and oversight of Fraud and Abuse programs, while staying

Qualifications

• No experience required, Prior Authorization or Coverage Determination experience preferred.
• Proficient PC skills in a Windows based environment.

Responsibilities

• Provide clinical support to the PerformRx Customer Care Center.
• Engage providers in discussions to support determinations.
• Support Fraud and Abuse program oversight.
• Keep abreast of industry trends and regulatory changes.

Skills

Prior Authorization

Coverage Determination

PC Skills

Windows Environment Proficiency

No experience required

Education

Bachelor's Degree, PharmD preferred

Current Pharmacist license

Tools

Windows

Job description

PerformRx seeks a licensed Pharmacist (R) in Philadelphia, PA for a contract role to determine prior authorization requests for pharmaceutical coverage. The pharmacist will work with a team to ensure medical necessity and benefit decisions align with guidelines and regulations, with a rotating weekend schedule if needed.

Responsibilities include clinical support for the Customer Care Center, provider discussions to support determinations, and oversight of Fraud and Abuse programs, while staying