Travel Pharmacist

ID: Shift: Monday- Friday 8:30am-5pm EST Monday- Friday 8:30am-5pm EST 5x8 Hr Description: 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 provide clinical support to the PerformRx Contact CenterEngage providers in discussions to support determinationsSupport Fraud and Abuse program system oversight.Participate in various Pharmacy-related projectsKeep abreast of industry trends and regulatory changesKeep abreast of operational directives and customer reference materials Schedule Friday 8:30am-5pm ESTSkills: 2 years pharmacy experience preferredPrevious experience in managed care environment preferred RequiredCLINICAL SUPPORTPHARMACYMANAGED CAREPHARM DAdditionalEducation: Current pharmacy license in North Carolina REQUIREDMust Reside in North Carolina;Languages: English Read Write Speak English(Speak, Read, Write)Job Category: NonClinical - Nursing/Tech Guaranteed Hours: 40.00 Contract