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Pharmacist - RPh Operations Advisor - Specialty Medical Prior Authorization Aetna- #26-19877
Career Insights for Clinical Pharmacist
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Scorecard
Based on Rhode Island data
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What they do
A Clinical Pharmacist provides medications to patients and educates patients and physicians on the proper use of medications. Works in a clinical setting, directly with physicians and other health professionals, often granted patient care privileges and responsibility of assisting in patient care management. Usually requires a Doctor of Pharmacy degree.
$137,140 / year median in Rhode Island
-2% projected decline
Job Description
First Job Previous Job
3,400 of 10,000
Next Job Last Job Share
More Like This
Salary Not Available
Position range in Rhode Island $92k
- $139k Per Year Pharmacist
- RPh Operations Advisor
- Specialty Medical Prior Authorization Aetna
- #26-19877
US Tech Solutions
Occupation:
Pharmacists
Location:
Providence, RI
- 02919
Job Type:
Full Time (30 Hours or More)
Posted:
08/15/2026
Positions available: 1
Source:
NLX
Web Site:
usnlx.com
Job #: 295767472
Job Requirements and Properties
Help for Job Requirements and Properties. Opens a new window. Work Onsite
Full Time Schedule
Full Time
Job Description
Help for Job Description. Opens a new window. $53
- 58 per hour
Please note: Actual location may vary.
, RI
Contract
Duration:
12 months
Position Summary:
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.
Duties:
- Collaborates with the Technicians and Nurses to process authorization requests, 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. (15%)
- Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)
- Establishes and maintains communication among health plan and employer group staff. (5%)
- Maintain professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix. (5%)
- Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
(5%)
Experience:
- 2 years of clinical experience with specialty medications or clinical review of prior authorization requests .
- Experience using MS Office and other Windows based computer applications, strong organizational skills, interpersonal skills, and detail orientation are important for this position.
Required certification: - Active pharmacist license in state of residence in good standing.
Education:
- Bachelor's degree in pharmacy or Pharm D.
required with at least two years experience as a pharmacist. Must have an active license in good standing.
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 www.ustechsolutions.com .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
AI Statement:
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