Pharmacist

Job Description

Job Description

Key Responsibilities

• Review and make determinations on prior authorization requests for pharmaceutical product coverage
• Make medical necessity and benefit decisions in accordance with established pharmacy guidelines and prior authorization criteria
• Apply applicable industry regulations and clinical judgment when reviewing coverage requests
• Independently manage assigned reviews and make appropriate coverage determinations with support from senior pharmacists and supervisors as needed
• Collaborate with team members to meet or exceed established quality standards and customer performance requirements
• Provide clinical support to the Customer Care Center
• Engage healthcare providers in discussions to support prior authorization determinations
• Support Fraud and Abuse program oversight activities
• Stay current with relevant industry trends and regulatory changes
• Maintain knowledge of operational directives and customer reference materials
• Participate in a rotating weekend schedule if required based on business needs

Required Qualifications

• 2+ years of experience
• Bachelor's degree
• PharmD degree
• Current Pharmacist license

Skills

• PC Proficiency in Windows-Based Environment
• Prior Authorization Review
• Medical Necessity Determination
• Clinical Judgment
• Regulatory Compliance
• Fraud and Abuse Program Oversight
• Provider Engagement

Schedule

Start date: 2026-10-01

Next Steps

Shortlisted candidates will receive an email from View email address on ziprecruiter.com with instructions to complete a required screening step. Completion of this screening is mandatory to be considered for the role.If you do not receive this email after applying, please contact our Talent Expert at View email address on ziprecruiter.com.

Compunnel Inc., established in 1994; is a leading provider of Staffing, IT/Software, e-Learning/Training, Business Intelligence, and Cloud Solutions. A leader in contingent and permanent workforce solutions, we also provide temp-to-hire staffing, project-based/SOW staffing, and payroll services to our esteemed clientele which includes Fortune 500 companies of diverse industry segments. Ranked as one of the largest staffing firms in the US which is our primary service market; we also have a significant presence in Europe and Asia. As a national service provider in the US, we are serving our customers all major states and regions; thereby generating numerous job opportunities for prospective employees in their preferred locations of choice.

We have witnessed multi-fold YOY growth, and continuously adding a large pool of talented resources to our employee base every year. Our extensive experience in hiring professionals of multiple in-demand skill sets (IT, Engineering, Healthcare, Admin-Clerical, Finance, Professional, Light Industrial, etc.) further makes Compunnel a wider and preferred platform for people to pursue their careers in the US. We welcome people from all walks of life and cultures, and we support workforce diversity by providing equal employment opportunities to people without any discrimination based on race, color, gender, religion, national/ethnic region, disability, or any other basis.

Company Description

Compunnel Inc., established in 1994; is a leading provider of Staffing, IT/Software, e-Learning/Training, Business Intelligence, and Cloud Solutions. A leader in contingent and permanent workforce solutions, we also provide temp-to-hire staffing, project-based/SOW staffing, and payroll services to our esteemed clientele which includes Fortune 500 companies of diverse industry segments. Ranked as one of the largest staffing firms in the US which is our primary service market; we also have a significant presence in Europe and Asia. As a national service provider in the US, we are serving our customers all major states and regions; thereby generating numerous job opportunities for prospective employees in their preferred locations of choice.\r\n\r\nWe have witnessed multi-fold YOY growth, and continuously adding a large pool of talented resources to our employee base every year. Our extensive experience in hiring professionals of multiple in-demand skill sets (IT, Engineering, Healthcare, Admin-Clerical, Finance, Professional, Light Industrial, etc.) further makes Compunnel a wider and preferred platform for people to pursue their careers in the US. We welcome people from all walks of life and cultures, and we support workforce diversity by providing equal employment opportunities to people without any discrimination based on race, color, gender, religion, national/ethnic region, disability, or any other basis.