REMOTE Pharmacist- PBM Prior Authorization required Job at A-Line Staffing Solutions, Pittsburgh, PA

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  • A-Line Staffing Solutions
  • Pittsburgh, PA

Job Description

Job Description

Job Description

 

FULLY REMOTE - WORK FROM HOME, 40 hours per week.

 

Job Highlights

  • 100% Remote / Work from Home - can be located anywhere in the USA
  • Contract to Hire with room for growth!
  • Compensation: $53 per hour ($110,240 estimated salary) - pay increases once converted to permanent

 

 

Job Requirements:

  • Pharmacist license in state of residence, active and in good standing
  • Prior authorization experience in PBM or managed care environment
  • Experience in PBM, Managed Care, or VA Veterans Hospital

 

Job Responsibilities

  • Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
  • Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes.
  • Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
  • Establishes and maintains communication among, health plan and employer group staff.
  • Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.

 

  • Pharmacist license in state of residence, active and in good standing
  • Prior authorization experience in PBM or managed care environment
  • Experience in PBM, Managed Care, or VA Veterans Hospital

 

APPLY or contact Senior Staffing Manager, Bradley Zidek or email at bzidek@alinestaffing.com

Job Tags

Remote job, Hourly pay, Permanent employment, Contract work,

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