Pharmacist Reviewer
Description
Role: Pharmacist Reviewer Remote Time commitment: 5 hours/day, preferred to have resource available during standard working hours (start time between 9 -11am CT) . Required skill s:Active US license as a Pharmacist. Minimum of 5 years experience as a Pharmacist, with a minimum of 3 years experience in hospital pharmacy require d.Experience in managed care, clinical coding and clinical authorization or claims revie w.Experience researching drugs for application and exceptions. Strong IT skills- able to work in different system s. Mandatory S killsActive US Pharmacist license (manda tory)5+ years overall experience with 3+ years in hospital pharmacy, Strong clinical foundation in medication manag ementExperience in managed care and clinical authorization, claims review and clinical c odingStrong expertise in drug research, usage, and exceptions, Ability to evaluate formulary and non-formulary casesProficient in multiple healthcare systems/ tools Nice To ha ve SkillsKnowledge of payer guidelines and approvals, utilization management processesExperience in prior authorization workflowsCommunication, Collaboration, Articulation & Attitude Show more Show less