Live opening · Posted 7 days ago
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About the role
Description supplied by the original job listing.
Overview:
Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Clinical Pharmacist (Prior Authorization).
*** Candidate must be authorized to work in USA without requiring sponsorship ***
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*** Location: Rancho Cordova, CA (100% Remote for CA residents)
*** Duration: 12 months contract w/ possibility of extension or conversion to FTE role
Notes:
This is a 100% remote position.
Employees must reside and perform their work within the State of California throughout employment.
Description:
Support the clinical and operational implementation of P&T approved policies for the pharmacy benefit, for both the Commercial and Medicare lines of business.
Apply clinical expertise to PA reviews and work collaboratively with the PA and Call Center Teams to support access to safe, efficacious, and medically necessary medications.
Operate in compliance with all regulatory and accreditation requirements to ensure all requests are reviewed within regulatory required timeframes.
Serve as a resource to internal and external constituents regarding the Blue Shield drug formulary, medication policies, and appropriate drug use.
Embrace values by answering clinical and operational questions, participating in group discussions, and supporting other team members while working towards a collective goal.
Use clear and concise communications and on-brand messaging when communicating with providers or members.
Follow all corporate policies and procedures.
Operate in compliance with all regulatory and accreditation requirements, and corporate policies and procedures regarding the support access to safe, efficacious, and medically necessary medications.
Qualifications:
License Requirement: Must hold a current, active, and unrestricted California Pharmacist License in good standing at the time of hire and maintain the required licensure throughout employment.
Requires PharmD degree and clinical pharmacy experience.
Excellent oral and written communication skills.
Thorough knowledge of therapeutic use of outpatient medications.
Previous experience in prior authorization review.
Microsoft Office (Outlook, Word, Copilot, etc.).
Prior experience with AuthAccel preferred.
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I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Satwinder “Sat” Singh
Lead Technical Recruiter
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state, and federal laws.
Work arrangement
Yes
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