Description: One of our largest clients is seeking Clinical Pharmacists who have Arizona licensure!
All candidates MUST BE LICENSED IN AZ.
Please send your updated resume to ASorber@judge.com for immediate consideration.
This position is for a Clinical Pharmacist working in the Prior Authorization unit. This is a call center based business segment. The pharmacist's 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.
This job will have the following 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.
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 the company.
Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
Qualifications & Requirements:
Bachelors of Pharmacy required, PharmD preferred
1 - 3 years of previous experience as a Pharmacist is preferred
1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties is preferred.
1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred
Must be able to work full-time
Additional Information:
Training time is 8:00am-5:00pm. Monday- Friday. (This training time is subject to change) after training work schedule can range between 9 am to 9 pm (8 hour shifts).
Candidate will work 5 days a week which may or may not include a weekend day(s).
Excellent attendance is a must. No time off during training or during peak times.
Audrey Sorber
National Healthcare Recruiter
ASorber@judge.com
Contact: asorber@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
