Equity Staffing Group is searching for Pharmacists to work remotely; candidates must live in the
Central Time Zone. This is a contract assignment working for a Fortune 100 organization that serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we'd love to speak with you!
Job Overview
The pharmacist's primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.
Primary Responsibilities
- Process member prescriptions or prior authorizations through various computer systems, ensuring data accuracy and updating as necessary, while consulting physicians/providers with questions and rendering coverage determinations
- Gather complex clinical information and coverage policy details to make coverage determinations within regulatory guidelines, consulting with pharmacy technicians and physicians on medication use and formulary alternatives as needed
- Organize workload, prioritize tasks, and complete assignments timely while complying with department standards, quality assurance guidelines, and state/federal pharmacy laws
Requirements
- Doctor of Pharmacy (Pharm.D.) degree from an accredited institution
- Active Pharmacist License in the state you reside in
Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
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