Pharmacist clinical remote - united states, woonsocket
adecco is currently assisting a national pharmaceutical client, recruiting for a clinical pharmacist . this role is remote. the schedule is as follows 7am to 12am cst - 8 hours per day expected. scheduled to start dec 5th. apply now!
the clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. the clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. this role will work from cvs caremark supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.
this is a safety sensitive position. completion of all screens is required prior to the candidate starting the assignment. upon acceptance please send the following information: a broadband connection and a smartphone are required. the vpn token will be need to be downloaded to the user’s smartphone.
note: they can work from anywhere in the continental u.s. with the exclusion of new mexico and colorado candidates.
collaborates with the cru technician to process referrals, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. (20%)
coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
handles inbound phone calls and escalations from physicians or patients regarding prior authorization (50%)
establishes and maintains communication among cvs caremark, health plan and employer group staff. (5%)
maintain professional and technical knowledge of drug and disease-states for the specialty pharmacy programs administered within the case review unit. (5%)
performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
candidates must meet the following requirements to be considered:
knowledge of access, power point, and visio is preferable.
must be computer literate – knowledge of excel and word.
licensed registered pharmacist.
minimum 3-5 years' experience although 5-8 years is preferred.
click on apply now for instant consideration!
equal opportunity employer/veterans/disabled
the company will consider qualified applicants with arrest and conviction records
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