Pharmacist I

As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, contract criteria, industry regulations and sound clinical judgment. The Prior Authorization pharmacist works independently with respect to reviews and decision making, with the support of senior pharmacist staff and supervisors. You will work as member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. Additional responsibilities include:

Telephonically provide clinical support to the PerformRx Contact Center

Engage providers in discussions to support determinations

Support Fraud and Abuse program system oversight.

Participate in various Pharmacy-related projects

Keep abreast of industry trends and regulatory changes

Keep abreast of operational directives and customer reference materials

2 years pharmacy experience preferred

Previous experience in managed care environment preferred

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."