JOIN A LEADING HEALTHCARE COMPANY
Do you want to join a leading healthcare team focused on nurturing long-term patient and caregiver relationships? Do you want to be a part of a company that is committed to hiring the best people and using the best technology and tools to deliver improved health outcomes for patients and partners? If so, take a look at the available career opportunities at Curant Health.
Curant Health is searching for a Prior Authorization Pharmacist to join its team. The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations for various lines of business, including Commercial/Private, Medicaid, Medicare, and Co-operatives. This role involves processing and evaluating PA requests, supervising PA specialists, and serving as a clinical resource to both internal and external stakeholders.
Key Responsibilities:
- Review and process prior authorization requests based on clinical criteria and member benefits.
- Coordinate drug utilization review reports and ensure compliance with regulatory requirements.
- Handle clinical calls from Customer Care for medication-related prior authorizations.
- Manage PA appeals and ensure adherence to policies and procedures.
- Act as a clinical resource for internal teams, prescribers, and clients.
- Monitor and improve the quality and efficiency of the Coverage Determination process.
- Stay updated on clinical guidelines and provide relevant insights for program development.
- Supervise the Prior Authorization Department, ensuring operational efficiency and training.
- Develop and implement departmental protocols and training materials.
Qualifications:
- Doctor of Pharmacy (PharmD) with at least 2 years of experience and licensed in the state of practice.
- MUST HAVE experience with working a prior authorizations role.
- Knowledge of PBM, formulary management, and 340B is a plus.
Why Work for Us?
We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.
Our Core Values consist of ICARE; Integrity, Communication, Accountability, Relationships and Excellence, and we take pride in you embodying those traits. Curant Health is an equal opportunity employer.
Job Type: Full-time
Pay: $125,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Smyrna, GA 30082
