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HC - PHARMACIST - INTERMEDIATE job in Philadelphia at The Judge Group

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The Judge Group Philadelphia, PA Full-Time
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Location: Philadelphia, PA
Description: Our client is currently seeking a HC - PHARMACIST - INTERMEDIATE

This job will have the following responsibilities:
  • This position is for a Clinical Pharmacist.
  •  This is a call center based business segment and strict work guidelines are employed. 
  •  Primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment. 
  • Primary Responsibilities: Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information 
  •  Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases 
  • Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested. 
  •  Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations 
  • Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards  
  • Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image.
  •  Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team. *

Qualifications & Requirements:
  • Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday. 
  •  Candidate must be available as early as 5am and as late as midnight. 
  • Candidate will work 5 days a week which may or may not include a weekend day(s). 
  • There is scheduled Overtime and working on Holidays. 
  • Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord) 
  • Candidate must also have a secure work space/office in their home 
  • Candidate must have level skill with working with PC 
  • Excellent Attendance is a must active state Pharmacist license.

Contact: [ Link removed ] - Click here to apply to HC - PHARMACIST - INTERMEDIATE
This job and many more are available through The Judge Group. Find us on the web at [ Link removed ] - Click here to apply to HC - PHARMACIST - INTERMEDIATE

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Job ID: 735468

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