Pharmacist I

4 weeks ago

Philadelphia, United States vTech Solution, Inc. Full time
Duties:

As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, contract criteria, industry regulations and sound clinical judgment. The Prior Authorization pharmacist works independently with respect to reviews and decision making, with the support of senior pharmacist staff and supervisors. You will work as member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. Additional responsibilities include:
Telephonically provide clinical support to the PerformRx Contact Center
Engage providers in discussions to support determinations
Support Fraud and Abuse program system oversight.
Participate in various Pharmacy-related projects
Keep abreast of industry trends and regulatory changes
Keep abreast of operational directives and customer reference materials

Skills:

2 years pharmacy experience preferred

Previous experience in managed care environment preferred

Education:

Current pharmacy license, Commonwealth of Pennsylvania preferred. Pharm D. preferred.

Language:

English

Read

Write

Speak

(Read, Write, Speak) CLINICAL SUPPORT,PHARMACY,MANAGED CARE,PHARM D Address: 200 Stevens Drive, PA001
Work Performed OnSite:
Reason Details:
Start Date: 06/17/2024
End Date: 08/16/2024
Schedule Notes: Monday-Friday 8:30am-5pm EST

  • Specialty Pharmacist I

    6 days ago

    Philadelphia, United States Thomas Jefferson University Full time

    Responsibilities PRIMARY RESPONSIBILITIES: Interprets physicians' prescriptions and dispenses medications for high dollar specialty and other medications within regulatory, accreditation, and policy guidelines. Provides medication therapy management by actively managing drug therapy; identifies, prevents and resolves medication-related problems. (e.g....

  • Pharmacy Technician

    2 days ago

    Philadelphia, United States Actalent Full time

    Description: Must haves: 2+ years retail pharmacy technician experience or customer service pharmacy experience 2 + years of billing and claims/Patient Service experience retail/specialty/prior authorization experience High school diploma or equivalent CPhT is required within 6 months of starting. Skills: Pharmacy, retail pharmacy, prior authorization,...

  • Inpatient Pharmacy Tech

    1 month ago

    Philadelphia, United States Tower Health Full time

    **Responsibilities**: The pharmacy technician under direct supervision of a licensed pharmacist provides comprehensive pharmacy services to special populations including neonates, pediatrics, adolescents, and young adults. The pharmacy technician assists in all pharmacy operations functions in compliance with department and hospital policies and procedures,...

  • Associate Medical Director

    4 weeks ago

    Philadelphia, United States Calcium+Company Full time

    Job DescriptionJob DescriptionJOB DESCRIPTIONASSOCIATE MEDICAL DIRECTORMedical Strategy DepartmentReports to: EVP, Medical Director  Job SummaryThe Associate Medical Director will be responsible for reviewing different therapeutic areas, published clinical trials, and data to develop the appropriate medical communication, whether in PowerPoint or Word...

  • Associate Medical Director

    3 weeks ago

    Philadelphia, United States Calcium+Company Full time

    Job DescriptionJob DescriptionJOB DESCRIPTIONASSOCIATE MEDICAL DIRECTORMedical Strategy DepartmentReports to: EVP, Medical Director  Job SummaryThe Associate Medical Director will be responsible for reviewing different therapeutic areas, published clinical trials, and data to develop the appropriate medical communication, whether in PowerPoint or Word...

  • Associate Medical Director

    4 days ago

    Philadelphia, PA, United States Calcium+ Company Full time

    JOB DESCRIPTION ASSOCIATE MEDICAL DIRECTOR Medical Strategy Department Reports to: EVP, Medical Director Job Summary JOB DESCRIPTION ASSOCIATE MEDICAL DIRECTOR Medical Strategy Department Reports to: EVP, Medical Director Job Summary The Associate Medical Director will be responsible for reviewing different...

  • Coordinator Residency/Fellowship Program

    1 week ago

    Philadelphia, United States Tower Health Full time

    Responsibilities: The Residency/Fellowship Program Coordinator (PC) is responsible for the day-to-day administration of a residency training program accredited by the Accreditation Council of Graduate Medical Education (ACGME) and/or other accrediting bodies to include American Society of Health-System Pharmacists ASHP, Commission on Dental Accreditation...