Judi Health - Appeals Pharmacist (temp-to-hire)
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Requirements
• Active, unrestricted, pharmacist license required • 1+ years prior authorization review or appeals experience required • Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven environment with shifting priorities • Have a designated workplace (an office, spare bedroom, etc.) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations • Strong oral and written communication skills required • Proficient in Microsoft Office Suite and experience using clinical resources (e.g. Micromedex, Lexicomp, Clinical Pharmacology) • Experience working with Medicare appeals preferred • This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
Responsibilities
• Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and policies. • Deliver extraordinary customer care and service by responding to questions concerning customer accounts in a fast paced, structured environment within established time frames. • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
Benefits
• $125,000—$130,000 USD • All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
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