Clinical Pharmacy Specialist
- Employer
- Careerbuilder US
- Location
- Atlanta, Georgia, US
- Closing date
- Jun 25, 2021
View more
- Position Type
- Clinical Pharmacist
- Specialty Area
- Other
- Work Setting
- Other
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The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.
Job Requirements:
1. Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. (20%)
2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
3. Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)
6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (10%)
Job Requirements:
1. Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. (20%)
2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
3. Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)
6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (10%)
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