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Pharmacist

OptumRx

  • 30+ days ago
  • Remote
  • $59 Per Hour
  • Full-time

Highlights

This is a remote Prior Authorization Pharmacist role focused on reviewing medication authorization and appeal requests to determine coverage based on clinical guidelines and health plan policies.

Numbers & Facts

Location (
Remote)
Job TypeFull-time
IndustryHealthcare Services
Salary$59 Per Hour
Year Founded2001
HeadquartersAtlanta, Georgia, US
Websitehttp://www.insightglobal.net

Description

This is a remote Prior Authorization Pharmacist role focused on reviewing medication authorization and appeal requests to determine coverage based on clinical guidelines and health plan policies. You'll use your clinical expertise to make coverage decisions, collaborate with providers, recommend cost-effective treatment alternatives, and manage a high volume of cases while maintaining strong quality and productivity standards.

Qualifications

  • Bachelors or Doctorate of Pharmacy; Active State Pharmacist License
  • Current Licensed Pharmacist within the state of work
  • 6+ months of customer service/customer relations with healthcare professionals
  • Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document) and basic proficiency with Microsoft Outlook (ability to send emails)
  • Comfortable with production-based environment
  • Ability to perform responsibilities and duties remotely with little to no supervision
  • Comfortable in a fast-paced, high-volume workload
  • Ability to be adaptable, team-oriented culture requiring flexibility and adaptability to changing business needs

Benefits

Work From Home, 401K

About Company

Company Context

ASP is a medical supply company selling products such as syringes, gowns, wound care products, and other healthcare supplies to hospitals and large physician groups.
The company is in growth mode and is targeting roughly 3x revenue growth.
They have been overhauling supply chain operations and have already transformed 4 of their 5 supply chain organizations.
The previous person in the role was promoted to Director, which suggests there is visibility and growth potential.

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