HC - PHARMACIST - INTERMEDIATE
Company: The Judge Group
Posted on: August 7, 2022
Location: Philadelphia, PA Description: Our client is currently
seeking a HC - PHARMACIST - INTERMEDIATE This job will have the
- This position is for a Clinical Pharmacist.
- This is a call center based business segment and strict work
guidelines are employed.
- Primary role is reviewing Prior Authorization cases and
rendering coverage determinations based on clinical criteria and
plan design in a fast paced and dynamic environment.
- Primary 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
- Gather complex clinical information, coverage policy and
criteria information and work within regulatory guidelines to make
- Organize workload, sets priorities, completes assignments in a
timely manner and utilizes resources appropriately while complying
with department program standards
- Dedication to build rapport with coworkers, internal customers,
and other departments by demonstrating a strong customer service
orientation and a continuous positive image.
- Demonstrate ability to maintain productive working
relationships with team members, other internal and external
customers, and management team. Qualifications & Requirements:
- Training is for 4 weeks. Training time is 8:00am-5:00pm.
- Candidate must be available as early as 5am and as late as
- Candidate will work 5 days a week which may or may not include
a weekend day(s).
- There is scheduled Overtime and working on Holidays.
- Candidate must have their own home internet access/VPN
(internet can be hard wired with Ethernet cord)
- Candidate must also have a secure work space/office in their
- Candidate must have level skill with working with PC
- Excellent Attendance is a must active state Pharmacist license.
Contact: This job and many more are available through The Judge
Group. Find us on the web at
Keywords: The Judge Group, Philadelphia , HC - PHARMACIST - INTERMEDIATE, Healthcare , Philadelphia, Pennsylvania
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