Job Details

A company is looking for a Remote PBM Pharmacist.Key ResponsibilitiesReview and process prior authorizations, coverage determinations, and Medicare appealsEvaluate clinical documentation to support approval/denial decisionsEnsure compliance with CMS and Medicare Part D guidelines and timelinesRequired QualificationsActive Pharmacist (RPh) license in state of residence (must be in good standing)Bachelor's Degree in Pharmacy or PharmDStrong computer skills (Excel and Word required)Ability to work independently in a remote, productivity-driven environmentDedicated, quiet workspace for remote work