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Prior Authorization Pharmacist

The Judge Group Philadelphia Full-Time
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Judge Healthcare is seeking (10+) Clinical Pharmacists for a large engagement in Philadelphia, PA.

The pharmacist’s primary role is reviewing Prior Authorization cases in a fast paced and dynamic environment. This is a call center based business segment 

This job will have the following 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 

Qualifications & Requirements:
  • Pharm D or equivalent - unrestricted in the state of PA
  • Pharmacy Residency experience 
  • 1-3 years practicing pharmacist experience is preferred
  • PBM experience 
ALL INTERESTED AND QUALIFIED CANDIDATES ARE ENCOURAGED TO send your updated resume to Email blocked - click to apply and then callURL blocked - click to apply
 

Recommended skills

Telephone Skills
Clinical Works
Prior Authorization
Pharmacy Benefit Management
Perseverance
Call Centers
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Job ID: 629077

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The Judge Group is a privately owned, leading professional services firm with nearly 50 years of experience in providing technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, and India. The Judge Group serves more than 47 Fortune 100 companies and is responsible for 7,000 professionals on assignment annually across a wide range of industries.

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