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Remote Order Authorizations Pharmacist Chicago IL

Chicago , IL 20 days ago

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Category Pharmacy – Telepharmacy
Job Type Contract

Soliant Health is seeking several remote Clinical Pharmacists to assist with health plans and insurance authorizations. As a Clinical Pharmacist you will play a critical role on the Pharmacy Clinical Review Team as a reviewer of prior authorizations and appeals. This role will also support the review and development of new clinical guidelines and serve as an internal pharmacy team.

Job Overview:

  • Start: ASAP
  • End: 3-6 month contract, TTH
  • Shift: Mon - Fri shifts starting/ending between 7a-7p CST, rotating weekends
    Training Hours: Mon - Fri 8a-5p
  • Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician-administered drugs
  • Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations
  • Participate in clinical quality audits (inter-rater reliability testing)
  • Provide internal team support for escalations and questions from pharmacy technicians and physicians
  • Develop and review clinical criteria

Experience Required:

  • Prefer 3+ years of experience in health plan/managed care/PBM setting performing prior authorizations/determinations/clinical review/utilization management.
  • Active, unrestricted pharmacist license
  • Willingness to obtain licensure/training with new states, as needed
  • Strong clinical skills and experience applying clinical criteria in a clinical review setting
  • Retail pharmacists with strong PA, rejections, determination experience will be considered.
  • Current state license

Offering:

  • Weekly Pay
  • Equipment
  • Medical and Dental Benefits
  • 401k

 

Contact:

Thomas Tatham

[email protected]

Text 561-712-5572

Apply Now

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Competitive Salary
  • Weekly Paycheck
  • Matching 401(k) Plan
  • Extensive Medical Coverage
  • Licensing Assistance
  • Custom Housing
  • Travel Assistance
  • Professional Development Reimbursement