HC - PHARMACIST - INTERMEDIATE at The Judge Group Inc.

Posted in Other 12 days ago.

Location: 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
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