Clinical Pharmacy Expert
5 days ago
At Global Channel Management, we are passionate about delivering exceptional pharmaceutical services. We are currently seeking a skilled Clinical Pharmacy Expert to join our team.
We offer a competitive salary of $130,000 per year, plus benefits and opportunities for professional growth.
Job Description
The successful candidate will be responsible for performing prospective and retrospective coverage reviews and appeals, responding to prescriber, pharmacy provider, member appeals, grievances and complaints related to the provision of pharmaceutical services, building and maintaining decision trees in the prior authorization system, and maintaining denial rationale associated with clinical criteria.
Required Skills and Qualifications
The ideal candidate will have a Doctor of Pharmacy (PharmD) degree, 8 years of strong experience in technical design, development, implementation, and support of enterprise solutions, and proficiency in Microsoft Office. Strong interpersonal and organizational skills, as well as excellent oral and communication skills, are essential for this role.
Benefits
As a valued member of our team, you will enjoy a comprehensive benefits package, including medical, dental, and vision coverage, retirement savings plan, and paid time off.
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