Associate Recruiter specializing in Healthcare Recruitment at Pride Health. "Helping the World Work!"
Pride Healthcare is assisting a top healthcare organizationto identify the right person to fill a RemotePrior Authorization Pharmacist opening.
Responsibilities:
Process member prescriptions/prior authorizations through various computer systems
Receive phone calls from prior authorization pharmacy techs and/or providers for clinical information
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
Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
Requirements:
Bachelors or Doctorate of Pharmacy
Must have active state Pharmacist License and reside in one of the following states: Oregon, Wyoming, Idaho, Montana, Utah, New Mexico, Arizona, Nevada, Colorado
Must have home internet access/VPN (internet can be hard wired with Ethernet cord)
Must also have a secure workspace/office at home
Must have working knowledge of PC operating systems
Excellent Attendance is a must!
Additional Details:
Fully remote Contract to Hire position.
4 weeks of training, 8am-5pm PST Monday- Friday. This training time is subject to change.
Shift after training is an 8hr shift with 1hr lunch. Must be available as early as 5am and as late as midnight, however shift will most likely be 10:30a-7p PST (subject to change.)
Will work 5 days a week which may or may not include a weekend day(s).
Scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
Salary range is based upon location.
Must be authorized to work in the United States. Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
APPLY NOW!
Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010. As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Health and Human Services
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