HC - PHARMACIST - INTERMEDIATE at The Judge Group Inc. in Philadelphia, Pennsylvania

Job Description:

Location: Philadelphia, PA

Description: Our client is currently seeking a HC - PHARMACIST - INTERMEDIATE



This job will have the following responsibilities:

• This position is for a Clinical Pharmacist.


• This is a call center based business segment and strict work guidelines are employed.


• Primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.


• Primary Responsibilities: 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


• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image.


• Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team. *
  
  

Qualifications & Requirements:

• Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday.


• Candidate must be available as early as 5am and as late as midnight.


• Candidate will work 5 days a week which may or may not include a weekend day(s).


• There is scheduled Overtime and working on Holidays.


• Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord)


• Candidate must also have a secure work space/office in their home


• Candidate must have level skill with working with PC


• Excellent Attendance is a must active state Pharmacist license.
  
  

Contact: khawkins@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now