Position Summary

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 supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.

Duties
This individual must have excellent interpersonal skills.

Will be responsible for:
1. Collaborates with the Technicians and Nurses to process authorization requests, 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. (20%)
2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%)
3. Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)
4. Establishes and maintains communication among client, health plan and employer group staff. (5%)
5. Maintain professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix. (5%)
6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (5%)

Experience
2+ years of clinical experience with specialty medications or clinical review of prior authorization requests
Experience using MS Office and other Windows based computer applications, strong organizational skills, interpersonal skills, and detail orientation are important for this position.
Required certification: Active pharmacist license in state of residence in good standing

Education
Bachelor's degree in pharmacy or Pharm D. required with at least two years experience as a pharmacist. Must have an active license in good standing.

Notes:
Fully remote (never coming onsite)
7am to 10pm CST - 8 hours/day Training: M-F 8-4:30PM CST for 6 weeks
Possible weekend shifts