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Job Descrption

Responsibilities
• Complete prior authorization reviews for all lines of businesses
• Respond to escalations from internal departments
• Apply clinical judgment for medication policies and coverage determinations
• Organize and prioritize requests for timely case management
• Build and adjust authorizations within the claim adjudication system
• Triage and respond to inquiries regarding claims processing
• Maintain communication with other functional areas within SmithRx
• Communicate SmithRx’s vision, mission, values, and goals

Requirements
• Bachelor’s Degree in Pharmacy or PharmD required
• 2-5 years of pharmacy experience
• Active pharmacist license
• 1 year of prior authorization experience preferred
• Strong clinical skills and problem-solving ability
• Proficiency in drug literature and clinical trial evaluation
• Proficiency in MS Word, Excel, and PowerPoint preferred

Benefits
• Seasonal contract role with 6-month duration
• Opportunity for conversion to full-time based on... performance
• Laptop provided for the work assignment
• Competitive benefits through staffing vendor

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