A-Line Staffing Solutions is hiring several Pharmacists with Prior Authorization experience (in a managed care or PBM environment) for full-time opportunities with a Fortune 500 company!
FULLY REMOTE - WORK FROM HOME, 40 hours per week.
Job Highlights
100% Remote / Work from Home - can be located anywhere in the USA
Contract to Hire with room for growth!
Compensation: $53 per hour ($110,240 estimated salary) - pay increases once converted to permanent
Pharmacist license in state of residence, active and in good standing
Prior authorization experience in PBM or managed care environment
Experience in PBM, Managed Care, or VA Veterans Hospital
Job Responsibilities
Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes.
Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
Establishes and maintains communication among, health plan and employer group staff.
Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
Pharmacist license in state of residence, active and in good standing
Prior authorization experience in PBM or managed care environment
Experience in PBM, Managed Care, or VA Veterans Hospital
APPLY or contact Senior Staffing Manager, Bradley Zidek or email at [email protected]
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
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