Pharmacist Advisor

Job Title:
Pharmacist Advisor

Location:
Remote

Duration: 12+ months contract

Job Description:

As a Pharmacist Advisor, you will play a crucial role in supporting Medicare Part D members and providers with requests related to their pharmacy benefits. Your expertise will ensure that cases are accurately set up, clinical information is reviewed, and decisions are made in compliance with Medicare guidelines and timelines.

You will be responsible for collaborating with multiple groups within CD&A, including answering clinical questions, collecting clinical data, and reviewing cases in progress. Your clinical decision-making skills will be essential in making timely and accurate decisions regarding Prior Authorizations, Tier Exceptions, and Non-Formulary requests.

This is an excellent opportunity to join a leading healthcare company and contribute to a best-in-class service experience. You will have the chance to work with a talented team and make a meaningful impact on the lives of Medicare Part D members.

Responsibilities:

Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements.

(20%)

Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes.

(20%)

Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)

Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (10%)

Experience:
Pharmacist License of Current State

Prior Authorization Experience.

Medicare Experience

Experience working in healthcare.

Skills:
Prior Authorization.

Medicare.

Prior Authorization Call Handling.

Education:
Bachelor's Degree Required, Pharm D & Pharmacist License of Current state you are residing.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

To know more about US Tech Solutions, please visit ).

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity,

national origin, disability, or status as a protected veteran.

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