Job Description:
Location: Lewiston, ME
Salary: $52.50 USD Hourly - $54.70 USD Hourly
Description:
Our client is seeking a Remote Pharmacist in Maine!
As a Clinical Pharmacist, you will utilize your clinical expertise to review Prior Authorization cases and render coverage determinations based on established clinical criteria and plan design. You will thrive in a fast-paced and dynamic environment that values quick, accurate decision-making and adaptability.
Job Title: Pharmacist - Prior Authorization
Job Type: Contract (6 months) - Direct Hire (Based on performance)
Location: Remote
Rate: $54.70/hour
Hours: 8 hour shifts - 5 days a week
Job Responsibilities:
- Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
- Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
- Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
- Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
- Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations
- Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
- Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
- Conform with and supports department quality assurance and improvement guidelines
- Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of OptumRx.
- Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
- Safety is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
Required Qualifications:
- Active Pharmacist license in state of residence
- Candidate must have their own home internet access/VPN (Internet can be hard wired with Ethernet cord)
- Candidate must have a secure workspace/office in their home
- Candidate must have experience working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
Training & Scheduling Information:
- 4 week training period, no time off during training. Attendance is mandatory.
- Training times will either be 8:00am-5:00pm Monday- Friday or 10:30am - 7:00 pm Monday-Friday. (Training times subject to change)
- There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
This position offers a unique opportunity to make a significant impact on patient care while working within a supportive and collaborative team. If you are passionate about clinical pharmacy and enjoy a challenging, fast-paced environment, we encourage you to apply. Send us your resume for immediate consideration!
Contact: mgautreau@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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