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Pharmacist 1

Spectraforce Technologies
United States, Florida, Jacksonville
13141 City Station Drive (Show on map)
Jan 22, 2025
Title: Pharmacist 1

Duration: 06 months (Potential to extend)

Location: 100% Remote


Shift: 12-8:30pm est shift Tues-Sat , Sat shift only 8am-5pm est

Description

Position Purpose: Provide timely drug therapy review for Medicaid, Medicare and Exchange health plan members by processing prior authorization and medical necessity requests

* Direct resources to individual cases, projects, or critical needs.

* Update health plan pharmacy documentation in conjunction with state laws.

* Review prior authorization requests and technician determinations for drug products according to member benefits and coverage criteria

* Provide clinical guidance and support to pharmacy technicians as needed

* Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews

Qualifications

Education/Experience: Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy. 2+ years of retail or hospital pharmacy experience or 1+ years of managed care pharmacy experience . Clinical pharmacy in managed healthcare or retail experience preferred.

License/Certification: Current state's Pharmacist license with no restrictions. Additional license may be required as need by state or contract.

Pa review,GA, TX, IN, KS, NJ. AZ. NC, PA license preferred, 12-8:30pm est shift Tues-Sat shift, Sat shift only 8am-5pm est, typing test with interview, interviewee must be on a pc
Internal/External Groups with which the Candidate will interface:
Required Skills/Experience: Preferred Skills/ Experience: GA, TX, IN, KS, NJ. AZ. NC, PA license preferred
1. 1. Retail pharmacy experience(1yr min)
2. 2. Managed care(PA review)(3-6 months min)
3. 3.
Education Requirement: PharmD Education Preferred: PharmD
Software Skills Required: Proficient with Microsoft applications
Required Certifications: Rph license Required Testing: Typing test with interview

Position is offered by a no fee agency.
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