Job Summary
A company is looking for a Clinical Review Pharmacist to support prior authorization reviews and collaborate with healthcare providers.
Key Responsibilities
- Evaluate and interpret clinical guideline criteria for coverage determinations
- Conduct outbound clinical consult calls with healthcare providers and patients
- Document prior authorization cases and make clinical determinations in accordance with guidelines
Required Qualifications
- Pharmacy degree from an accredited school of pharmacy
- Registered Pharmacist with a state license in good standing
- PGY1 Managed Care Residency preferred
- Proficient in Microsoft Office Suite and clinical resources
- Ability to work independently and manage time effectively