About the position
Responsibilities
• Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions and collecting necessary clinical/medical data for assessments.
• Coordinating timely communication of case decisions to physicians, health plans, employers, patients, and other healthcare professionals following approval and denial management processes.
• Handling inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
• Establishing and maintaining communication among the company, health plan, and employer group staff.
• Maintaining professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix platform.
• Performing other related projects and duties as assigned, including on-call and after-hours pharmacist availability.
Requirements
• Prior authorization experience required.
• Previous pharmacy experience in retail or hospital preferred.
• Active state pharmacist license in good standing required.
• Basic computer skills required.
• Strong organizational skills, interpersonal skills, and attention to detail.
Nice-to-haves
• Minimum of 2-5 years experience preferred.
• Experience using MS Office and other Windows-based applications.
