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Clinical Pharmacy Specialist

Employer
Careerbuilder US
Location
Atlanta, Georgia, US
Closing date
Jun 25, 2021

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Position Type
Clinical Pharmacist
Specialty Area
Other
Work Setting
Other
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%)

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