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The Judge Group

The Judge Group is looking for a HC – PHARMACIST – INTERMEDIATE  #JobOpportunitiesNearPagosaSprings #PagosaSpringsJobsSearch #PharmacistJobsPagosaSprings

Location: REMOTEDescription: REMOTE  PHARMACIST – INTERMEDIATEThis position is for a Clinical Pharmacist working in the Prior Authorization unit This is a call center based business segment and strict work guidelines are employed. The pharmacists 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 informationConsult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization casesConsult 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 determinationsOrganize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standardsPerform all duties and functions in compliance with state and federal pharmacy laws and regulationsConform with and supports department quality assurance and improvement guidelinesDedication 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.Skill and Requirements:Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday. Shift after training is an 8 hour shift with an hour lunch. 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. Dependent on business needs, candidate could work up to 4 hours a day OT.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 homeCandidate must have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)Excellent Attendance is a mustActive state Pharmacist license.Please email resume to [ Email address blocked ] – Click here to apply to HC – PHARMACIST – INTERMEDIATE. Phone interviews will be set up accordingly  Contact: [ Link removed ] – Click here to apply to HC – PHARMACIST – INTERMEDIATEThis job and many more are available through The Judge Group. Find us on the web at [ Link removed ] – Click here to apply to HC – PHARMACIST – INTERMEDIATE Recommended SkillsClient RapportHardworking And DedicatedPerseveranceHospital Information SystemsCustomer ServiceCall CentersRecommended JobsPharmacistAtlanta,GaPharmacist, Atlanta,GaHC – PHARMACIST – INTERMEDIATEThe Judge GroupREMOTEFull Time
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})Pharmacist PA and Appeals IL TX PN or MN TelecommuteUnitedHealth GroupAtlanta
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