Scope of Role:
Title : Remote Pharmacist (Prior Authorization)
Location : Remote must be licensed in state of residence (Kansas)
Type of Engagement : Contract to hire (Based on performance, contract for 6 months)
New Graduates encouraged to apply!
This job will have the following responsibilities:Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
Safety is paramount and it’s important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of our client.
Conform with and supports department quality assurance and improvement guidelines
Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
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 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
Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
Pharmacist License in the state of residence
Excellent Attendance is a must
Candidate must have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
Candidate must also 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)
Hours :
Interested in learning more about this opportunity? Please email Emily Hartzell at ehartzell@jugde.com.
Contact: ehartzell@judge.comThis job and many more are available through The Judge Group. Find us on the web at
Remote Skills:
Access Authorization, Clinical Information, Computer Systems, Consulting, Customer Support/Service, Data Quality, Establish Priorities, Ethernet, Federal Laws and Regulations, Formulary, Keyboards, Leadership, Medications, Patient Care, Pharmacy, Quality Assurance, Safety/Work Safety, State Laws and Regulations, Time Management, VPN (Virtual Private Network)
About the Company:
Judge Group
The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.
The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit or call toll free (800) 360-4474.
Company Size:
5,000 to 9,999 employees
Industry:
Computer/IT Services
Founded:
1970
Website: