Coverage Review Pharmacist Position Available In Miami-Dade, Florida

Location:

REMOTE Salary:

$50.00 USD Hourly – $58.00

USD Hourly Description:

Our client is currently seeking a Fully Remote Coverage Review Pharmacist This job will have the following responsibilities: Responsible for various activities associated with coverage reviews and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on medications. Performs prospective and retrospective coverage reviews and appeals per State and Federal regulations Responds to prescriber, pharmacy provider, member appeals, grievances and complaints related to the provision of pharmaceutical services within established time period Builds and maintains decision trees in the prior authorization system Maintains denial rationale associated with clinical criteria and ensures that decision letters meet regulatory compliance

Qualifications & Requirements:

BA/BS degree in Pharmacy or Pharm D Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the state of Tennessee to practice Pharmacy 3 years – Clinical experience required Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Competency in compendia navigation and research Qualified and interested candidates, please send your most updated resume to bkehoe@judge.com for immediate consideration, and times you’re available for a call to discuss the position. Thank you and I look forward to speaking with you By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively “Judge”) to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge’s Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.

Contact:

bkehoe@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com