Pharmacist- PBM Prior Authorization - Remote | WFH Job at Get It - Healthcare, Orlando, FL

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  • Get It - Healthcare
  • Orlando, FL

Job Description

Are you a licensed pharmacist seeking a flexible, fully remote opportunity with room for growth? Join our team and help make a difference in the lives of patients nationwide! We are looking for an experienced Prior Authorization Pharmacist to support healthcare providers and patients by ensuring timely and accurate medication approvals.

Why Join Us?
100% Remote / Work from Home - Work from anywhere in the U.S.
Contract-to-Hire - With opportunities for growth and a pathway to a permanent role.
Competitive Compensation - Starting at $53 per hour (~$110,240 annual equivalent), with pay increases upon conversion to a permanent position.
Schedule Options (40 hours per week):
We offer several flexible schedules to fit your lifestyle:

Tuesday - Saturday

8:00 AM - 4:30 PM CST / 9:00 AM - 5:30 PM EST / 6:00 AM - 2:30 PM PST
Sunday - Thursday

8:00 AM - 4:30 PM CST / 9:00 AM - 5:30 PM EST / 6:00 AM - 2:30 PM PST
Monday - Friday

9:30 AM - 6:00 PM CST / 10:30 AM - 7:00 PM EST / 7:30 AM - 4:00 PM PST
Key Responsibilities
As a Prior Authorization Pharmacist, you will play a vital role in ensuring patients receive the medications they need in a timely manner. Your primary responsibilities will include:

Consulting with Physicians and Providers: Answer clinical questions, interpret guideline criteria, and make coverage determinations for prior authorization requests.
Coordinating Case Decisions: Communicate approvals or denials to physicians, health plans, employer groups, patients, and other healthcare professionals in a timely manner.
Handling Inbound Calls: Assist with escalations and inquiries from physicians, patients, and healthcare providers regarding prior authorization cases.
Building Collaborative Relationships: Establish and maintain communication with health plans, employer group staff, and other healthcare partners.
Supporting Special Projects: Participate in related projects and provide after-hours/on-call support as needed.
What We're Looking For
To succeed in this role, you'll need:

Active Pharmacist License: Must be licensed and in good standing in your state of residence.
Experience in Prior Authorization: Familiarity with prior authorization processes in a PBM (Pharmacy Benefit Management) or managed care environment is required.
Background in PBM, Managed Care, or VA Healthcare: Experience working in these settings will set you up for success in this role.
What We Offer
Work-Life Balance: Enjoy the convenience of working remotely from anywhere in the U.S.
Career Growth: Transition from a contract position to a permanent role with opportunities for advancement.
Supportive Team Environment: Join a collaborative team dedicated to improving patient care and medication access.
If you are passionate about making a positive impact in healthcare and are ready to take the next step in your career, we encourage you to apply today!
Employment Type: Full-Time
Salary: $ 53.00 55.00 Per Hour

Job Tags

Hourly pay, Permanent employment, Full time, Contract work, Work from home, Flexible hours, Sunday, Saturday, Monday to Friday,

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