CLIN PHARMACIST PATIENT CARE at Judge Group

• Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information 

• Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases 
• Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested. 
• Gather complex clinical information, coverage policy and criteria information and work within regulatory guidelines to make coverage determinations 
• Organize workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards 
• Perform all duties and functions in compliance with state and federal pharmacy laws and regulations 
• Conform with and supports department quality assurance and improvement guidelines 

Qualifications & Requirements:

• High School Diploma or GED is required 

• Associates degree or 3-5 years of equivalent work experience is preferred 
• 1 - 3 years of previous experience as a Pharmacist is preferred 
• 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties is preferred. 
• 1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred