Remote Prior Authorization Pharmacist

A-Line is seeing 100 Work From Home Prior Authorization Pharmacists ASAP! The positions will be 40hrs per week!

Prior Authorization Pharmacist Job Summary-

The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.

Prior Authorization Pharmacist License Requirements:

• Open to any state Pharmacist License

Prior Authorization Pharmacist Requirements-

• State licensed Pharmacist in good standing

Prior Authorization Pharmacist Duties-

• Collaborates with the CRU Technician to process referrals, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. (20%)
• Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%)
• Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)
• Establishes and maintains communication among, health plan and employer group staff. (5%)
• Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. (5%)
• Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (5%)

Please Apply ASAP!

Key Words- RPH, Pharmacist, MTM Pharmacist, Call Center Pharmacist, MTM, Medication Therapy Management Pharmacist, work from home pharmacist, Coverage Determination, Prior authorization Pharmacist