Description: Judge Healthcare is seeking a Pharmacist in Baton Rouge, LA ASAP!
Job Details:
Title: Pharmacist
Location: Baton Rouge, LA 70801
Type of Engagement: Contract
Rate: 55.52$/hr
This position is for a Clinical Pharmacist working in the Prior Authorization unit. This is a call center based business segment. The pharmacist's primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.
Responsibilities:
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 OptumRx.
Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
Required Qualifications:
Licensed Pharmacist in LA
High School Diploma or GED is required
Associates degree or 3-5 years of equivalent work experience is preferred
1 - 3 years of previous experience as a Pharmacist is preferred
1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties is preferred.
1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred
Hours:
8:00am-5:00pm. Monday- Friday. (This training time is subject to change) after training work schedule can range between 9 am to 9 pm.
Please send your resume to Dustin Buchanan - DBuchanan@judge.com for immediate consideration.
Thank you for your time and I look forward to hearing from and working with you.
Regards,
Dustin Buchanan
Recruiter
The Judge Group
Contact: dbuchanan@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
