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Medical Consultant / pharmacy prior authorization reviews / part time physician, nurse practitioner, or physician assistant
Job
Michigan Department of Health and Human Services
Lansing, MI (In Person)
Part-Time
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Job Description
The Medical Consultant (pharmacy prior authorization reviews) serves in the Office of Medical Affairs, which is housed in MDHHS Health Services and provides clinical support to Michigan Medicaid and the Children's Special Health Care Services Program. Utilizing clinical expertise and knowledge of program policies, the Medical Consultant performs time-sensitive pharmacy prior authorization reviews for Michigan Medicaid. This work is accomplished through prompt and efficient review of clinical and administrative documentation to render decisions on requests for outpatient drugs under the pharmacy benefit. Depending on programmatic needs, this position may also conduct prior authorization reviews under the medical benefit and provide clinical consultation for other tasks in the Office of Medical Affairs.