Location: Tampa, FL
Judge Healthcare is actively seeking a Pharmacist (Work From Home) in Tampa, FL
We are hiring a Clinical Pharmacist working in the Prior Authorization unit for a major client. This is a call center based business segment and strict work guidelines are employed. The pharmacists 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.
Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations
Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday. This training time is subject to change
Shift after training is an 8 hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnight.
Candidate will work 5 days a week which may or may not include a weekend day(s).
There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord)
Candidate must also have a secure work space/office in their home
Candidate must have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
Excellent Attendance is a must
active state Pharmacist license.
Please feel free to forward this msg to ANYONE you think may be interested
Please send your MOST UP TO DATE resume to Robert at Rkilgarriff@judge.com or give Robert a call at (813-463-9713), or TXT me at 484-585-4182. I will reach back to you and provide you with more information in greater detail.