Pharmacist - RPh Operations Advisor

7am to 10pm CST - 8 hours/day

Training: M-F 8-4:30PM CST for 4 weeks

•Possible weekend shifts*





-This is a safety sensitive position.

-A broadband connection and a smartphone are required. The VPN token will need to be downloaded to the user s smartphone.

-Candidates can reside anywhere in the continental U.S. with the exclusion of New Mexico and Colorado.



Active Pharmacy License in state of residence required.

•Provide a copy of license with resume**



•Provide internet speed test on the resume (INCLUDE SCREEN SHOT)





Must ensure the potential new hire understands:

They are required to provide their own high-speed internet.

Minimal home broadband connectivity speed of 25 Mb download and 3 MB upload speed. Speed for home internet can be confirmed by going to www.speedtest.net.

Smartphones are required. The VPN token will need to be downloaded to the user s smartphone.

They must have a sufficient/private work area that is used for business during their work hours.

Their current living accommodations are in a stable situation.

Ensure the employee is aware of the Teleworker Privacy Practices they need to abide by.

Workspace is dedicated to *** business during working hours and is not accessible by others who may be present in the household; telephone conversations cannot be overheard, and documents/computer screens cannot be viewed by others.

When not working, the computer is shut off. For short departures from the work area, the workstation must be locked, or the computer shut down.



Completion of all screens is required prior to the candidate starting the assignment.

Upon acceptance please send the following information:

Home address

Personal email address

Cell phone number



Position Summary:



The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from Client Caremark supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.



Duties:



1. Collaborates with the Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%)

2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%)

3. Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)

4. Establishes and maintains communication among Client Caremark, health plan and employer group staff. (5%)

5. Maintain professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix. (5%)

6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (5%)



Experience:



Minimum of 2-5 years of clinical experience with specialty medications or clinical review of prior authorization requests is preferred. Experience using MS Office and other Windows based computer applications, strong organizational skills, interpersonal skills, and detail orientation are important for this position.







Required certification:

Active pharmacist license in state of residence in good standing



Education:

Bachelor's degree in pharmacy or Pharm D. required with at least two years experience as a pharmacist. Must have an active license in good standing.



Education:



Bachelor's degree in pharmacy or Pharm D. also required with at least two years experience as a pharmacist. Must have an active license in good standing.