HC - PHARMACIST - INTERMEDIATE
The Judge Group Inc.

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

This job has expired.