Top 12 Prior authorization pharmacist Jobs in Charlotte, Nc

Utilization Management Pharmacist Trainer
Judi Health —Charlotte, NC
- $135,000 - $145,000 a year
- Customer service
- Mid-level
- 3 years
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2d
Prior Authorization Systems Pharmacist
Judi Health —Charlotte, NC
- $128,000 - $150,000 a year
- Full-time
- Microsoft Word
- System design
- 3 years
- Wellness program
- Health savings account
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Pharmacy Technician
Cannon Pharmacy Morrocroft —Charlotte, NC
- $18 - $22 an hour
- Full-time
- Background check
- Mid-level
- 3 years
- Free parking
- Store discount
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1d
Certified Pharmacy Technician II Atrium Health OneHealth NoDa/South Park FT
Atrium Health —Charlotte, NC
- $22.90 - $34.35 an hour
- Full-time
- Float pool
- Computer literacy
- Mid-level
- Paid parental leave
- Disability insurance
14d
Janus RX Pharmacy Technician- Charlotte, NC
Janus Pharmacy —Charlotte, NC
- $18 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- English
Janus RX Pharmacy Technician- Charlotte, NC
Mims Management Group —Charlotte, NC
- $18 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- English
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Therapy Care Specialist - Specialty Infusion Pharmacy Technician
Soleo Health Inc —Charlotte, NC
- Urgently hiring
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health savings account
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13d
Pharmacist (Full-Time)
Charlotte Community Health Clinic —Charlotte, NC
- Monday to Friday
- Customer service
- BLS Certification
- HIPAA
- Paid holidays
- Loan repayment program
Quick Apply
3d
Pediatric Infusion Clinic Pharmacist Levine Children's FT
Atrium Health —Charlotte, NC
- $54.90 - $82.35 an hour
- Full-time
- Customer service
- Outpatient experience
- Bachelor's degree
- Paid parental leave
- Disability insurance
Pharmacy Manager / Pharmacist-in-Charge (PIC)
Cabarrus specialty pharmacy —Concord, NC
- $54 - $55 an hour
- Full-time
- Mid-level
- In-person
- Leadership
- Health insurance
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3d

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Utilization Management Pharmacist Trainer
Judi Health —Charlotte, NC
An active unrestrictive pharmacist license. Ensure that training content is accurate, up-to-date, clinically relevant, compliant with federal and state…
$135,000 - $145,000 a year
Quick Apply
2d
Pharmacist (Full-Time)
Charlotte Community Health Clinic —Charlotte, NC
Valid North Carolina pharmacist license. Current BLS certification (required within first 90-days of employment). Reports To: Chief Operating Officer.
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3d

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Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
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Pharmacist (Pharmacologist)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from the state of residence. Providing managed care pharmacy program oversight.
$52.86 - $73.46 an hour
1d

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prior authorization pharmacist jobs near charlotte, nc

Utilization Management Pharmacist Trainer

Judi Health
Charlotte, NC

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Job Details

$135,000 - $145,000 a year
2 days ago

Qualifications

Registered Pharmacist (RPh)
Practicing as a pharmacist
Clinical pharmacy experience
E-learning (training delivery method)
State healthcare regulations
Licensed Pharmacist (State-Specific)
Clinical staff training
Pre-authorization review for utilization management
Clinical training
Licensed Pharmacist
Online training platform teaching experience
E-learning platforms
Online educational platform experience
Enterprise Learning Management
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Position Summary:
We are seeking a dynamic and experienced pharmacist trainer to join our team. As a pharmacist Trainer, you will play a pivotal role in developing and delivering training programs that enhance knowledge, operational efficiency, and customer service skills to our pharmacist staff. The successful candidate will have a strong background in pharmacy practice, a passion for education and the ability to create engaging and impactful training content.

Position Responsibilities:

Facilitate the onboarding process for new hires and provide comprehensive training sessions for pharmacists on prior authorization systems, processes, and procedures utilizing a variety of training methods.
Develop and update training materials, resources, verbiage templates, job aids, and communicate updates to the team.
Ensure that training content is accurate, up-to-date, clinically relevant, compliant with federal and state regulations, and internal policies.
Maintain detailed records of training sessions, participant attendance, and training materials for auditing and reporting purposes.
Assess performance of pharmacists through evaluations, quizzes, and practical assessment to identify areas for improvement and provide constructive feedback.
Collaborate with pharmacy managers, supervisors, and other relevant stakeholders to identify training needs, performance gaps and ensure alignment with company goals.
Make clinical prior authorization and appeals determinations in accordance with medical necessity and covered benefit guidelines within established turnaround times.
Provide detailed and thorough documentation in prior authorization cases, overrides and call center cases.
Perform peer-to-peer reviews with providers when requested.
Perform scientific literature evaluation using primary, secondary, and tertiary drug resources to support decision-making and recommendations to providers.
Effectively communicate issues and resolutions to members, pharmacies, providers, and appropriate internal stakeholders.
Provide backup support to call center team as required.

Required Qualifications:

A Doctor of Pharmacy (Pharm.D.) degree or Bachelor of Pharmacy degree from an accredited pharmacy program.
An active unrestrictive pharmacist license.
3+ years of experience as a clinical pharmacist in Pharmacy Benefit Management (PBM) setting.
Previous experience developing and delivering training programs.
Solid understanding of prior authorization operations, Federal and State laws, and regulations.
Excellent written communication and presentation skills to effectively convey complex information to diverse audiences.
Excellent analytical skills and attention to detail.
Ability to collaborate effectively with cross-functional teams and adapt to changing priorities.
Proficiency in using e-learning platforms, multimedia tools, and Microsoft Office Suite.
Ability to work a flexible schedule independently with minimal supervision, staying productive in a remote, high-volume, and metric driven call center environment.

This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes.

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

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prior authorization pharmacist jobs in charlotte, nc

Utilization Management Pharmacist Trainer

Prior Authorization Systems Pharmacist

Pharmacy Technician

Certified Pharmacy Technician II Atrium Health OneHealth NoDa/South Park FT

Janus RX Pharmacy Technician- Charlotte, NC

Janus RX Pharmacy Technician- Charlotte, NC

Therapy Care Specialist - Specialty Infusion Pharmacy Technician

Pharmacist (Full-Time)

Pediatric Infusion Clinic Pharmacist Levine Children's FT

Pharmacy Manager / Pharmacist-in-Charge (PIC)

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