Prior Authorization Pharmacist – WFH Licensed RPH

A-Line Staffing Solutions is hiring PBM experienced Pharmacists for several remote openings with a Fortune 500 Company. 100% WFH – can be located anywhere in the US.PBM Pharmacist – Job Details

• Pay: $53 per hour + Health Benefits after 90 days!
• 100% Remote – Work from Home – anywhere in USA
• Full-Time/40 hours per week – 2 shift options: Monday-Friday (no weekends), must be flexible to work any 8-hour shift between 7AM to 8PM CST or // Monday-Friday + rotating weekends 8AM – 5PM EST

Pharmacist Job Responsibilities

• Receives prior auth requests in remote setting, interprets clinical guideline/s criteria, and makes coverage determination on prior authorization cases.
• Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes.
• Establishes and maintains communication among, health plan and employer group staff.

Pharmacist Requirements:

• Pharmacist license from ANY state in US – license is required to be from the same state as candidate’s location
• Experience in PBM or managed care environment REQUIRED — will NOT accept Prior Authorization experience from retail/dispensing pharmacy settings
• Prior authorization experience highly preferred, but will consider any PBM/Managed Care experience