Remote Prior Authorization Pharmacist

Contract: 6-10 month contract-to-hire

Must Haves:

• Bachelor's or Doctorate of Pharmacy
• Active Pharmacist license in the state of work
• 6+ months of customer service/customer relations experience with healthcare professionals
• Basic Excel, Word & Outlook proficiency
• Comfortable working remotely and independently in a fast-paced, high-volume environment

The Role:

Review Prior Authorization & Appeals requests, assess clinical information, make evidence-based coverage determinations, and collaborate with physicians, pharmacy technicians, and healthcare providers. You'll also ensure accurate documentation and compliance with Medicare Part D, Medicaid, commercial benefits, and state/federal pharmacy regulations.

Exact compensation may vary based on several factors, including skills, experience, and education.

Employees in this role will enjoy a comprehensive benefits package starting on day one of employment, including options for medical, dental, and vision insurance. Eligibility to enroll in the 401(k) retirement plan begins after 90 days of employment. Additionally, employees in this role will have access to paid sick leave and other paid time off benefits as required under the applicable law of the worksite location.