Top 5 Authorization pharmacist Jobs in Camden, Sc

Part Time - Pharmacist - Contract 1099
Pharmacy Synergistics Inc —Camden, SC
- $52 an hour
- Full-time
- Mid-level
- Bachelor's degree
- 2 years
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1d
Utilization Management Pharmacist
BlueCross BlueShield of South Carolina —Columbia, SC
- 8 hour shift
- Hybrid work
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance

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Part Time - Pharmacist - Contract 1099
Pharmacy Synergistics Inc —Camden, SC
Research prior authorization denials and provide case managers and members with guidance regarding appeal opportunities, documentation requirements, and next…
$52 an hour
Quick Apply
1d
Utilization Management Pharmacist
BlueCross BlueShield of South Carolina —Columbia, SC
Required Education: Bachelor's in a job related field. Analyzes and reviews prior authorization requests for compliance with clinical criteria and treatment…

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Pharmacy Manager 836644
ASG Pharmacy —Dublin, OH
Doctor of Pharmacy (Pharm D) or Registered Pharmacist (R.Ph.) licensure in Ohio, with active state licensure. Strong clinical knowledge combined with excellent…
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Registered Manager Local Specialty
Walgreens —Columbus, OH
Current pharmacist license in the state where the site is located or willing to obtain by position start date. At least 2 years of experience planning, develop.
$130,275 - $191,209 a year

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Part Time - Pharmacist - Contract 1099

Pharmacy Synergistics Inc
Camden, SC

Quick Apply

Job Details

Full-time
$52 an hour
1 day ago

Qualifications

Registered Pharmacist (RPh)
Managed care organization experience
Licensed Pharmacist (State-Specific)
Licensed Pharmacist

Full Job Description

Responsibilities:

Support clinical pharmacy operations across Medicare populations, providing expertise in medication management, prior authorization, utilization management, and member care.
Utilize proprietary dashboard to track personal key performance metrics.
Complete pharmacy referrals using PBM claims databases to obtain comprehensive medication histories and evaluate appropriate dosing, drug interactions, adherence, and opportunities for clinical intervention.
Specialize in referrals involving STARS medications, identifying opportunities to improve safety, adherence, outcomes, and affordability.
Conduct outreach to members regarding medication-related questions, affordability concerns, pharmacy issues, and potential non-adherence.
Collaborate with providers to address drug interactions, medication regimen optimization, and gaps in care.
Serve as a primary point of contact for pharmacy-related questions, claim rejection issues, affordability concerns, and medication access barriers.
Research prior authorization denials and provide case managers and members with guidance regarding appeal opportunities, documentation requirements, and next steps.
Coordinate with providers, PBMs, pharmacies, and members to facilitate prior authorization completion, claim overrides, medication access, and resolution of pharmacy-related issues.
Maintain established productivity, quality, compliance, and service-level standards across pharmacy operations.
Manage complex member escalations and grievances, ensuring timely resolution and appropriate clinical follow-up.
Counsel members on medications, including appropriate use, adherence, safety considerations, and potential medication-related concerns.
Perform Comprehensive Medication Reviews (CMRs) and identify opportunities for medication optimization, adherence improvement, and cost savings.

Work Experience:

Managed Care, Insurance, PBM experience required
Pharmacist experience: 2 years

Education and Skills:

Bachelor’s degree in Pharmacy
Proficient in Microsoft Office Suite
Excellent communication skills
In-depth knowledge of pharmacy benefits management
Attention to work-related details
Excellent problem solver and team leader

License/Certification: Registered Pharmacist

Equal Opportunity Employer: We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

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authorization pharmacist jobs in camden, sc

Part Time - Pharmacist - Contract 1099

Utilization Management Pharmacist

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