Remote Pharmacist Advisor - Prior Authorization | WFH

Job Overview

We are seeking a dedicated and knowledgeable Remote Prior Authorization Pharmacist Advisor to join our esteemed healthcare organization. In this pivotal role, you will provide essential support to Medicare Part D members and healthcare providers by managing pharmacy benefit requests. Your expertise will be critical in ensuring adherence to regulatory standards while delivering an exceptional service experience.

Key Responsibilities

• Accurately establish cases for members.
• Review and evaluate clinical information to make sound decisions regarding requests.
• Engage with providers to gather additional information as necessary.
• Ensure compliance with relevant compendia and Medicare guidelines and timelines.
  
  

Required Skills

• Active pharmacist license in the state of residence.
• Strong understanding of pharmacy benefit requests and prior authorization processes.
• Excellent communication skills for effective outreach to providers.
• Proficient in reviewing clinical data and making informed decisions.
• Experience thriving in a remote work environment.
  
  

Qualifications

• High School Diploma or GED required.
• Bachelor's degree in Pharmacy or Pharm D.
• A minimum of two years' experience as a practicing pharmacist.
• An active pharmacist license in good standing.
• Experience with prior authorizations and Medicare Part D is preferred.
  
  

Career Growth Opportunities

This position offers significant potential for professional advancement within a leading healthcare organization, enabling you to make meaningful contributions to the healthcare landscape. You will have access to resources and support that foster your career development.

Company Culture And Values

Our company is committed to cultivating a collaborative and supportive work environment that prioritizes excellence in service delivery. We value diversity and inclusivity, encouraging all employees to thrive both professionally and personally.

Compensation And Benefits

• Competitive pay rate of $53.00 per hour.
• Full-time employees are eligible for benefits after 90 days of employment.
• A 401(k) plan with company matching is available for full-time staff after one year of service.
  
  

If you are interested in this exceptional opportunity to advance your career with a reputable healthcare provider, we would be delighted to receive your application.

Employment Type: Full-Time