Clinical UM Pharmacist - Prior Authorization & Policy Lead
Healthfirst
Healthfirst seeks a Clinical UM Pharmacist to review prior authorization requests, develop clinical criteria for provider administered medications, and monitor quality through monthly reports. The role requires NY Pharmacist license and a pharmacy degree, with at least 1 year of prior authorization experience. You will collaborate with prescribing physicians and Medical Directors to support decisions, stay current with literature, and ensure CMS/NYSDOH compliance in a dynamic care environment. #J-18808-Ljbffr Healthfirst
Vacancy posted 1 hour ago
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