Medical Prior Authorization Representative
September 9, 2024Accounts Receivable Specialist
September 24, 2024PBM Pharmacist
Are you looking for a challenging and rewarding position? A Fortune 500 company is seeking experienced Pharmacist Advisors to join their team. This is a great opportunity to initiate a career with a leading healthcare company. As a PBM Pharmacist Advisor, you will be directly supporting Medicare Part D Members and providers with requests related to their pharmacy benefits. This is a 1 YEAR ASSIGNMENT, with the possibly of a permanent position. This is a fully remote, call center type position. All candidates must have a PHARMACIST LICENSE within their state of residency in order to be considered.
Job Title: PBM Pharmacist
Start Date: 10/21 or 11/4
Shift:
- Training: Monday to Friday – 9:00 AM – 5:30 PM EST. **No time off during 8 week training period**
- After training: Must be flexible to work an 8 hour shift between the hours of 7:00 AM – 9:00 PM EST, Monday – Friday, including some weekends
Compensation:
- Pay rate is $54.00/per hour.
- Weekly pay schedule.
Responsibilities:
- Support Medicare Part D members and providers with requests related to their pharmacy benefits
- Ensure cases are accurately set up for members
- Review clinical information for decisioning the requests
- Outreach to providers for additional information when needed
- Ensure accurate decisions that comply with compendia and Medicare guidance and timelines.
- Review information and complete timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines
- Promote best-in-class service experience
Requirements:
- Must have a Pharmacist license in the state you reside
- Must have 2 years experience as a Pharmacist
- Must have PBM or prior authorization experience
- Must have experience with Medicare Part D (Prior Authorizations)
- Must be comfortable to be on the phones for entire shift, previous call center experience strongly preferred
- Clinical experience STRONGLY preferred
Our Mission:
Choice One Staffing Group offers our employees assistance in finding the best positions for their skills, talents, and experience. It’s simple. At Choice One Staffing Group, People are our PURPOSE and YOUR success is OUR success!
Try us! You’ll find we focus on providing a positive candidate experience from your first contact through the completion of your first assignment and every assignment.
Employee Benefits:
We offer medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation.
Specialized Staffing:
We specialize in Administrative, Light Industrial, Technical, Medical and Hospitality
EEO Policy:
Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.
To apply for this job please visit onlineapps2.coatsweb.com.