Staff Pharmacist

THIS IS A 4 MONTH CONTRACT

Hours:

Training Hours: M-F 9am-5:30pm EST

Working Hours: M-F 9:30am - 6pm in their respective time zone

ROLE OVERVIEW

Utilization management pharmacists are responsible for reviewing each plan’s policy to determine if coverage can be granted for medication.

Provide clinical support and oversight for all utilization management (UM) activities.

Responsible for finalizing all denials of clinical prior authorization requests.

RESPONSIBILITIES:

Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions

Applies critical thinking to achieve proper clinical decisions when performing clinical reviews

Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews

Works and maneuvers within a queue system that prioritizes clinical reviews

Makes clinical decisions quickly and at times decides and acts with limited information

Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience

SKILLS:

Proficient technical skills utilizing Microsoft Office applications required

Strong Clinical Knowledge

Detailed Review and Decision-Making ability

2+ years lead/supervisor or retail pharmacy experience preferred

Utilization Management preferred

Experience with Specialty Pharmacy/Pharmaceuticals preferred

EDUCATION & CERTIFICATIONS:

Active Pharmacist Licensure, Required

Bachelor’s Degree in Pharmacy required; PharmD preferred