Remote Pharmacist - Prior Authorization - PBM

Get It - Healthcare


Date: 2 weeks ago
City: Orlando, FL
Contract type: Full time
Remote
Job Overview

Are you a dedicated and licensed pharmacist in search of a flexible, fully remote opportunity that offers significant potential for career advancement? Join our esteemed team and contribute to enhancing the health and well-being of patients across the nation! We are currently seeking a skilled Prior Authorization Pharmacist to assist healthcare providers and patients by facilitating timely and precise medication approvals.

Key Responsibilities

As a Prior Authorization Pharmacist, your essential duties will include:

  • Consulting with Physicians and Providers: Address clinical inquiries, interpret guideline criteria, and render coverage decisions for prior authorization requests.
  • Coordinating Case Decisions: Promptly communicate approvals or denials to physicians, health plans, employer groups, patients, and other healthcare professionals.
  • Handling Inbound Calls: Provide assistance with escalations and inquiries from physicians, patients, and healthcare providers regarding prior authorization matters.
  • Building Collaborative Relationships: Foster and maintain effective communication with health plans, employer group personnel, and other healthcare partners.
  • Supporting Special Projects: Engage in associated projects and provide after-hours/on-call support as necessary.

Required Skills

To excel in this role, candidates must possess:

  • Active Pharmacist License: Must be licensed and in good standing in your state of residence.
  • Experience in Prior Authorization: Familiarity with prior authorization processes within a PBM (Pharmacy Benefit Management) or managed care environment.
  • Background in PBM, Managed Care, or VA Healthcare: Relevant experience in these sectors is advantageous for success in this position.

Qualifications

  • Must hold an active Pharmacist License in good standing.
  • Proven experience in prior authorization within a PBM or managed care context.
  • Educational Requirement: Doctor of Pharmacy (Pharm.D.) or equivalent.

Career Growth Opportunities

This role provides a pathway from a contract position to a permanent position, with ample opportunities for professional development and advancement within a supportive and growth-oriented environment.

Company Culture and Values

Become part of a collaborative and dedicated team committed to improving patient care and ensuring access to necessary medications. Your efforts will contribute significantly to the healthcare community.

Compensation And Benefits

  • 100% Remote / Work from Home - Experience the flexibility of working from anywhere in the U.S.
  • Competitive Compensation - Starting at \(53 per hour (~\)110,240 annual equivalent), with pay increases upon conversion to a permanent position.
  • Flexible Scheduling Options - Tailored schedules designed to fit your lifestyle.

Employment Type: Full-Time

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