Pharmacist
The Judge Group Inc.

Job Info

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Location: Irvine, CA
Salary: $60.00 USD Hourly - $65.00 USD Hourly
Description: Our client is currently seeking Clinical Pharmacists/Prior Authorization!

Onsite in Irvine, CA
Contract (Until 5/31/24)

Training is 8am-5pm. Monday- Friday. After training, schedule can range between 9am-9pm, 5 days a week.

Overview:
This position is for a Clinical Pharmacist working in the Prior Authorization unit.. This is a call center based business segment. The pharmacist's primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.

Responsibilities:

• Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
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  Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
  
• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
  
• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of .
  
• Conform with and supports department quality assurance and improvement guidelines
  
• 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 physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
  

Qualifications & Requirements:

• High School/GED, Associates degree or 3-5 years of equivalent work experience
• 1 - 3 years of previous experience as a Pharmacist is preferred
• 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the phone and computer.
• 1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred

Warm Regards,

Contact: vsantis@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

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