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Prior Authorization Pharmacist - Remote

Posted Yesterday
All others
Full Time
Worldwide

Overview

The Prior Authorization Pharmacist is a vital member of the pharmacy department, responsible for evaluating prior authorizations, providing drug therapy management, and serving as a resource for drug information.

In Short

  • Evaluate prior authorizations for drug appropriateness.
  • Provide cost-effective drug therapy and disease state management.
  • Deliver excellent customer service to health plan clients and practitioners.
  • Act as an educational resource for drug and clinical information.
  • Perform case reviews and Peer-to-Peer reviews.
  • Monitor prescription turnaround times.
  • Assist in implementing process improvements.
  • Communicate proactively with team members and supervisors.
  • Recognize and recommend operational improvements.
  • Participate in special projects as assigned.

Requirements

  • Strong drug knowledge and evaluation skills.
  • Able to work in a fast-paced environment.
  • High competency in Microsoft Word and Excel.
  • Strong organizational and communication skills.
  • Experience in Pharmacy Benefit Management preferred.
  • PharmD and pharmacist license in good standing required.
  • Willingness to obtain additional state licensure.
  • Minimum two years of experience as a pharmacist preferred.
  • Exceptional customer service skills.
  • Excellent critical thinking capabilities.

Benefits

  • Competitive compensation package.
  • Healthcare, vision, and dental insurance.
  • Generous 401k match.
  • Paid vacation and personal time.
  • Growth and training opportunities.
  • Team atmosphere with fun events.
Medical Review Institute of America logo

Medical Review Institute of America

The Medical Review Institute of America (MRIoA), established in 1983, is a leading provider of technology-enabled utilization management and clinical medical review solutions. Renowned for its commitment to excellence and continuous improvement, MRIoA values its employees as integral to its success, fostering a collaborative and supportive work environment. The company offers competitive compensation, comprehensive benefits, and opportunities for professional growth, emphasizing a culture of teamwork and engagement.

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