Posted in Other 19 days ago.
Location: Batavia, Illinois
Location: Batavia, IL
Salary: $58.90 USD Hourly - $58.91 USD Hourly
Description:
Judge Healthcare is seeking a Remote Pharmacist in Illinois!
Job Details:
Title: Remote Pharmacist (Prior Authorization)
Location: Remote must be licensed in state of residence (Illinois)
Type of Engagement: Contract to hire (Based on performance, contract for 6 months)
Rate: Dependent on Experience
Hours: Full time position only. No part time
Training is for 4 weeks. No time off at all during training. Training time will either be 8:00am-5:00pm Monday- Friday or 10:30am-7pm Monday-Friday. This training time is subject to change.
Shift after training will likely be 10:30am-7pm EST Monday-Friday. Subject to change.
Specific Duties:
• Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
• Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information
• Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
• Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
• Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations
• Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards
• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
• Conform with and supports department quality assurance and improvement guidelines
• Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of our client.
• Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
• Safety is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
Qualifications:
• Pharmacist License in the state of residence
• Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord)
• Candidate must also have a secure workspace/office in their home
• Candidate must have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
• Excellent Attendance is a must
Hours:
• Training is for 4 weeks. No time off at all during training. Training time will either be 8:00am-5:00pm Monday- Friday or 10:30am-7pm Monday-Friday. This training time is subject to change.
• Shift after training will likely be 10:30am-7pm EST Monday-Friday. Subject to change.
• There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
Please send your resume to Dominique DeMarco - DDeMarco2@judge.com for immediate consideration.
Thank you for your time and I look forward to hearing from and working with you.
Regards,
Dominique DeMarco
Recruiting Manager
The Judge Group
KinderCare Education LLC
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