Remote Pharmacist (Prior Auth) - Judge Group

Judge Healthcare is seeking a Remote Pharmacist in Illinois!

Job Details:

Title: Remote Pharmacist (Prior Authorization)

Location: Remote must be licensed in state of residence (Illinois)

Type of Engagement: Contract to hire (Based on performance, contract for 6 months)

Rate: Dependent on Experience

Hours: Full time position only. No part time

Training is for 4 weeks. No time off at all during training. Training time will either be 8:00am-5:00pm Monday- Friday or 10:30am-7pm Monday-Friday. This training time is subject to change.

Shift after training will likely be 10:30am-7pm EST Monday-Friday. Subject to change.

Specific Duties:

• Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary

• 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

• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations

• Conform with and supports department quality assurance and improvement guidelines

• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of our client.

• Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.

• Safety is paramount and it’s important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.

Qualifications:

• Pharmacist License in the state of residence

• Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord)

• Candidate must also have a secure workspace/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

Hours:

• Training is for 4 weeks. No time off at all during training. Training time will either be 8:00am-5:00pm Monday- Friday or 10:30am-7pm Monday-Friday. This training time is subject to change.

• Shift after training will likely be 10:30am-7pm EST Monday-Friday. Subject to change.

• There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.

Please send your resume to Dominique DeMarco - DDeMarco2@judge.com for immediate consideration.

Thank you for your time and I look forward to hearing from and working with you.

Regards,

Dominique DeMarco

Recruiting Manager

The Judge Group