Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for US Tech Solutions. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Duration: 06 months contractResponsibilitiesThis individual must have excellent interpersonal skills.
Will be responsible for: Reviewing and completing criteria based prior authorizations as per policy and procedure. Review and process prior authorization requests in accordance with clinical guidelines, policy, and procedures. Apply clinical judgment in reviewing complex cases requiring prior authorization. Communicate effectively with providers, prescribers, and patients regarding authorization decisions. Document all authorization activity accurately in system tools. Ensure compliance with internal policies and regulatory requirements. Collaborate with other pharmacists, clinical teams, and call center representatives as needed. Maintain confidentiality and follow HIPAA guidelines at all times. Experience/RequirementPrevious pharmacy experience in PBM or Prior Authorization required.
Appropriate state license required. Basic computer skills required. Strong organizational skills, interpersonal skills and detail orientation important for this position. EducationBachelor's degree in pharmacy or Pharm D. with at least two years' experience as a pharmacist is required. Must have an active license in good standing in the candidate's state of residence. About US Tech SolutionsUS Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www. ustechsolutions. com (http: //www. ustechsolutionsinc. com) . US Tech Solutions is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. If you have questions about this posting, please contact support@lensa. com
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