CLINICAL PHARMACIST PATIENT CARE

$126,339 - $126,360/Yr

The Judge Group - South Bend, IN

posted 2 months ago

Full-time - Entry Level
Remote - South Bend, IN
Administrative and Support Services

About the position

The Clinical Pharmacist Patient Care role is a remote position focused on processing member prescriptions and prior authorizations. The pharmacist will ensure compliance with pharmacy laws and regulations while making coverage determinations based on clinical guidelines. This contract-to-hire position encourages new graduates to apply and emphasizes the importance of safety and effective communication in a remote work environment.

Responsibilities

  • Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary.
  • Organize workload, set priorities, complete assignments in a timely manner, and utilize resources appropriately while complying with department program standards.
  • Perform all duties and functions in compliance with state and federal pharmacy laws and regulations.
  • Gather complex clinical information, coverage policy, and criteria information and work within regulatory guidelines to make coverage determinations.
  • Consult with pharmacy technicians and/or physicians regarding the use of medications and advise of appropriate formulary alternatives when requested.
  • Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
  • Maintain productive working relationships with team members, other internal and external customers, and management team.
  • Demonstrate a strong customer service orientation and a continuous positive image of the client.
  • Conform with and support department quality assurance and improvement guidelines.

Requirements

  • Pharmacist License in the state of residence (Indiana).
  • Excellent attendance is a must.
  • Candidate must have level skill with working with PC (e.g., using mouse and keyboard, accessing and navigating through multiple systems and screens).
  • Candidate must have a secure workspace/office in their home.
  • Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord).

Benefits

  • Contract to hire opportunity based on performance.
  • Remote work flexibility.
  • Opportunity for overtime and holiday work.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service