[Hiring] Pharmacist - Prior Authorization @USTech Solutions

Role Description

As a Clinical Pharmacist Advisor Medicare, you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for:

• Ensuring cases are accurately set up for members.
• Reviewing clinical information for decisioning the request.
• Performing outreach to providers for more information when needed.
• Ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.

This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.

Qualifications

• Previous experience in Managed Care/PBM environment (preferred).
• Bachelor's degree in pharmacy or Pharm D. required.
• Must have an active license in good standing in state of residence.

Requirements

• Prior Authorization.
• Pharmacy Benefit Management.
• Medicare Part D.

Benefits

• Shift: Business Hours are 7am - 8pm EST Monday - Friday and 7am - 4:30pm EST Saturday and Sunday. Set Rotation.

Company Description

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

By applying, you acknowledge that AI-assisted tools may be used during hiring.