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Clinical Review Pharmacist

2 months ago

Tucson, Arizona, United States VirtualVocations Full time

Clinical Review Pharmacist Job Description

**Key Responsibilities:**

* Conduct thorough prior authorization reviews for various lines of business and edit types
* Utilize clinical expertise to evaluate member situations against medication policies and benefit designs
* Respond to inquiries from pharmacy technicians, member support, and other departments regarding claims and prior authorization requests

**Required Qualifications, Training, and Education:**

* Bachelor's Degree in Pharmacy or PharmD required
* 2-5 years of pharmacy experience
* Clear, active pharmacist license
* Preferred: 1 year of experience with prior authorizations for commercial plans
* Proficiency in drug literature and clinical trial evaluation using electronic databases

At VirtualVocations, we're seeking a skilled Clinical Review Pharmacist to join our team on a seasonal basis. As a Clinical Review Pharmacist, you will play a critical role in ensuring the accuracy and efficiency of our prior authorization process.