Job Title: Pharmacist Location: San Antonio, TX Duration: 06 Months Shift: Between (07:00 AM – 08:00 PM) (40hours/week), May include weekends.
Training hours: 08:00 AM – 04:30 PM Description: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.
The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
This role will work from CLIENT Caremark supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.
Duties & Responsibilities: Collaborates with the CRU Technician to process referrals, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements.
Coordinates timely communication of case decision to physician, health plan/employer, patient and other healthcare professionals following agreed upon approval and denial management processes.
Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
Establishes and maintains communication among CLIENT Caremark, health plan and employer group staff.
Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit.
Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
× Contact Company Candidate Ideal Jobs Match a Job Experience: Required Qualifications: 1 or more years pharmacy experience.
Call centre, PBM or clinical experience preferred.
1 or more years exposure to clinical and analytical problem solving.
Experience in medication review, patient counselling and identification of drug related problems.
Preferred Qualifications: Clinical pharmacy knowledge.
Ability to prioritize and manage multiple tasks.
Excellent organizational skills.
Strong detail orientation.
Strong Microsoft Office skills.
Excellent oral and written communication skills and interpersonal skills.
Ability to balance clinical knowledge and customer service demands.
Ability to make own clinical decisions.
Demonstrated problem solving ability and attention to detail.
Must be a team player and very dependable.
Excellent oral and written communication skills.
Ability to quickly assess and adapt to constant changing situations Education: Bachelor's degree in pharmacy or Pharm D.
also required with at least two years’ experience as a pharmacist.
Must have an active Texas license in good standing.