Job Description

Job Description

Job Description

A-Line Staffing is now hiring a Prior Authorization Pharmacist – Remote. Can be located anywhere in the US but needs to be licensed in North Carolina!
The Pharmacist would be working for a Fortune 500 company and has career growth potential. This would be full-time / 30+ hours per week.

If you are interested in this position, please apply directly to this job posting or email me with the job title and your resume attached at jnottage@alinestaffing.com

Compensation

• The pay for this position is $53.00 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Highlights

• The required availability for this position is Monday – Friday, 11am - 730pm EST
• This is a remote position but you must be licensed in  North Carolina

Responsibilities

• • Review prior authorization requests and make coverage determinations using clinical criteria and plan design
• • Verify insurance coverage, interpret clinical guidelines, and consult with providers
• • Collaborate with pharmacy technicians and prior authorization team to answer clinical questions and process referrals
• • Conduct inbound and outbound calls with providers, healthcare teams, and patients to resolve cases
• • Maintain up-to-date knowledge of drug and disease states for specialty and non-specialty programs
• • Use clinical resources such as Micromedex, Lexicomp, Clinical Pharmacology
• • Perform additional duties including training participation, meetings, and on-call support as needed

Requirements

• • Active, unrestricted North Carolina pharmacist license in good standing (must be listed on resume)
• • Minimum home internet speed: 25 Mbps download / 3 Mbps upload (must be listed on resume)
• • Bachelor’s or Doctorate in Pharmacy (BS Pharm or Pharm.D.)
• • Clinical pharmacy and call center experience required
• • Excellent computer and Microsoft Office skills
• • Strong attention to detail, organization, and decision-making skills
• • Smartphone required to download VPN token
• • Must have a private and secure home workspace

Work-from-Home Requirements:

• Must supply own high-speed internet and provide internet provider and speed on resume

• Must maintain a dedicated, secure, and distraction-free workspace

• Teleworker privacy practices and workspace security standards must be followed

• Ability to secure CVS Health property and confidential information at all times

If you are interested in this position, please apply directly to this job posting or email me with the job title and your resume attached at jnottage@alinestaffing.com

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