REMOTE Pharmacist- PBM Prior Authorization required Job at A-Line Staffing Solutions, Orlando, FL

  • A-Line Staffing Solutions
  • Orlando, FL

Job Description

Job Description

Job Description

 

FULLY REMOTE - WORK FROM HOME, 40 hours per week.

 

Job Highlights

  • 100% Remote / Work from Home - can be located anywhere in the USA
  • Contract to Hire with room for growth!
  • Compensation: $53 per hour ($110,240 estimated salary) - pay increases once converted to permanent

 

40 hours per week, the schedules available are:

1. Tuesday-Saturday 8am-4:30pm CST / 9am - 5:30pm EST / 6am - 2:30pm PST
2. Sunday-Thursday 8am-4:30pm CST / 9am - 5:30pm EST / 6am - 2:30pm PST
3. Monday-Friday 9:30am-6pm CST / 10:30am - 7pm EST / 7:30am - 4pm PST

 

Job Requirements:

  • Pharmacist license in state of residence, active and in good standing
  • Prior authorization experience in PBM or managed care environment
  • Experience in PBM, Managed Care, or VA Veterans Hospital

 

Job Responsibilities

  • Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
  • Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes.
  • Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
  • Establishes and maintains communication among, health plan and employer group staff.
  • Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.

 

  • Pharmacist license in state of residence, active and in good standing
  • Prior authorization experience in PBM or managed care environment
  • Experience in PBM, Managed Care, or VA Veterans Hospital

 

Job Tags

Hourly pay, Permanent employment, Contract work, Work from home, Monday to Friday

Similar Jobs

NightHawk Services LLC

Barge Cleaning Technician Job at NightHawk Services LLC

 ...Job Description Job Description NightHawk Services, LLC is hiring qualified barge cleaning specialists. Primary Job Duties: Individual will perform all aspects of cleaning work including prepare/check equipment, enter and exit tanks, use cleaning equipment.... 

UPS

UPS - Warehouse Worker/Package Handler $21+/hr Job at UPS

 ...company guidelines. This position is physically demanding and requires continuous lifting, lowering, and moving packages throughout the shift. This position typically pays $18 to $25 per hour, with higher wages available for overnight, early morning, and peak season shifts.... 

Mariani Enterprises LLC

Gardener Job at Mariani Enterprises LLC

 ...best practices across our network. The opportunities are endless. Job Overview OEG is searching for top Talent! Our Gardener plays a critical role in providing on-going high-level and detailed horticultural expertise to residential, commercial and client... 

Cantor Fitzgerald

Transaction Coordinator Job at Cantor Fitzgerald

DescriptionTransaction Coordinator plays a key role in supporting the Capital Markets Debt & Structured Finance team through efficient...  ...organization, and execution of administrative and operational functions.Transaction Coordinator will be responsible for managing, tracking, and... 

Higglo

Remote SEO Growth Analyst Job at Higglo

Higglo, a remote-first studio, is seeking an experienced SEO specialist to drive growth for ABA and behavioral health brands. You will own keyword research, technical SEO audits, and performance reporting to boost organic visibility and pipeline.In a small, senior team...