Duties:
As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, contract criteria, industry regulations and sound clinical judgment.The Prior Authorization pharmacist works independently with respect to reviews and decision making, with the support of senior pharmacist staff and supervisors. You will work as member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. Additional responsibilities include:
Telephonically provide clinical support to the PerformRx Contact Center
Engage providers in discussions to support determinations
Support Fraud and Abuse program system oversight.
Participate in various Pharmacy-related projects
Keep abreast of industry trends and regulatory changes
Keep abreast of operational directives and customer reference materials
Skills:
2 years pharmacy experience preferred.
•Previous experience in managed care environment preferred
Education:
Current pharmacy license, Commonwealth of Pennsylvania preferred. Pharm D. preferred.
Language:
English
Read
Write
Speak
(Read, Write, Speak) CLINICAL SUPPORT,MANAGED CARE,PHARMACY,PHARM D Address: 200 Stevens Drive, PA001
Work Performed OnSite:Reason Details:Start Date: 07/22/2024
End Date: 10/31/2024
Schedule Notes: Monday-Friday 10am-6:30pm EST
United States - PA - PA - Lampeter
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Blue Ball
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Maytown
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Reinholds
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Craley
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Quentin
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Bowmansville
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Pequea
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Paradise
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Rheems
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Refton
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Leola
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Mountville
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Reamstown
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Washington Boro
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Marietta
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Hopeland
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Bird In Hand
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Terre Hill
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Elm
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Willow Street
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Elizabethtown
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Camp Hill
June 30, 2024
Advantis Medical is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Camp Hill, Pennsylvania. & Requirements • Specialty: Long Term Acute Care • Discipline: RN • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Advantis Medical, the...
United States - PA - PA - Akron
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Penryn
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - Strasburg
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...
United States - PA - PA - East Earl
June 29, 2024
For this position, pay will be variable by location - See additional job details and benefits below Legendary leadership certifies that our food, service, people and atmosphere are the best. Our Restaurant Managers lead and inspire the service and culinary teams to deliver the ultimate steakhouse...