Duties:

As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, contract criteria, industry regulations and sound clinical judgment. The Prior Authorization pharmacist works independently with respect to reviews and decision making, with the support of senior pharmacist staff and supervisors. You will work as member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. Additional responsibilities include:
Telephonically provide clinical support to the PerformRx Contact Center
Engage providers in discussions to support determinations
Support Fraud and Abuse program system oversight.
Participate in various Pharmacy-related projects
Keep abreast of industry trends and regulatory changes
Keep abreast of operational directives and customer reference materials

Skills:

2 years pharmacy experience preferred.
• Previous experience in managed care environment preferred

Education:

Current pharmacy license, Commonwealth of Pennsylvania preferred. Pharm D. preferred.

Language:

English

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(Read, Write, Speak) CLINICAL SUPPORT,MANAGED CARE,PHARMACY,PHARM D Address: 200 Stevens Drive, PA001
Work Performed OnSite:
Reason Details:
Start Date: 07/22/2024
End Date: 10/31/2024
Schedule Notes: Monday-Friday 10am-6:30pm EST