Job Description
A-Line Staffing is actively searching for Multiple REMOTE Prior Authorization Pharmacists. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at
[email protected]
for immediate consideration! Or call at 412-823-2500
.
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from supported systems and take inbound calls from physician or members regarding their pending approved or denied prior authorizations. Responsibilities 1. Collaborates with the CRU Technician to process referrals including answering clinical questions collecting appropriate clinical/ medical data needed to perform clinical assessments and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. 20 2. Coordinates timely communication of case decision to physician health-plan/employer patient and other healthcare professionals following agreed upon approval denial management processes. 15 3. Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization 50 4. Establishes and maintains communication among health plan and employer group staff. 5 5. Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. 5 6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. 5 Knowledge of Access Power Point and Visio is preferable. Must be computer literate - knowledge of Excel and Word. Licensed Registered Pharmacist Minimum 3-5 years experience although 5-8 years is preferred. This is a safety sensitive position. Completion of all screens is required prior to the candidate starting the assignment. Upon acceptance please send the following information: Home address Personal email address Cell phone number A broadband connection and a smartphone are required. The VPN token will be need to be downloaded to the users smartphone. NOTE: They can work from anywhere in the continental U.S
Please contact Brad zidek at
412-823-2500
for immediate consideration
Remote
About the Company:
A-Line Staffing Solutions
A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals
Company Size:
1,000 to 1,499 employees
Industry:
Staffing/Employment Agencies
Founded:
2004
Website:
http://www.alinestaffing.com/
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