Clinical Pharmacist
Mindlance
Duration: 7 – 12 Months Contract Job Assignment Location: 100% Remote Job Job Description: Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria Report to utilization review statistics to corporate compliance committees Review data and summarize daily utilization review numbers Responsible for tracking compliance of review cases Provide clinical guidance and support to the assigned pharmacy technicians Knowledge of drug coding (NDC, GCN, GPI and USC) and NCPDP claims adjudication systems Review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design. Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practices Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews Hiring Requirements Bachelor's degree or advanced degree 3+ years of experience in related field. EEO: “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” #J-18808-Ljbffr Mindlance
Vacancy posted 2 days ago
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