North Carolina Licensed Prior Authorization Pharmacist

Job Summary

A company is looking for a Remote PBM Prior Authorization Pharmacist licensed in North Carolina.

Key Responsibilities

• Evaluate and review prior authorization requests to render coverage determinations based on clinical criteria
• Consult with healthcare providers and maintain communication regarding case decisions and clinical assessments
• Handle inbound and outbound calls to facilitate prior authorization requests and resolve inquiries

Required Qualifications

• Active, unencumbered Pharmacist license in North Carolina
• Proficiency in computer skills, including multitasking and navigating multiple systems
• Experience with MS Office and web-based processing applications
• Minimum of 2 years' experience in reviewing and processing prior authorizations in a clinical setting