Appeals Pharmacist

  • Location
    Eden Prairie , Minnesota
  • Category
    Medical & Science - Pharmacist
  • Job type
    Contract/Temporary


Adecco Medical & Science is currently recruiting for a temporary Pharmacist job located in Eden Prairie, MN. As a pharmacist you would

• Evaluate prescriptions and patient histories
• Interpret physicians' prescriptions and clinical documentation, accesses clinical criteria and compendia support
• Consult with customers, patients and/or physicians regarding use of medications, potential drug interactions, and clinical status for appeals requests
• Conduct Quality Assurance and verify the accuracy of all prescriptions to render appeal decision
• Provide explanations and interpretations within area of expertise
• Review formulary and utilization management guidelines to determine if the drug should be a covered benefit for the beneficiary based on their medical history

QUALIFICATIONS:

Licensed Pharmacist in Minnesota
Pharmacy Residency experience is a plus
PBM experience
Pharm D
Experience in Medicaid, Commercial (private), and/or Medicare Part D prescription drug plans, programs or formularies
Experience in Coverage Determinations (prior authorization) or member appeals
Pharmacy reimbursement (third party insurance, Medicare Part D formulary management, Medicaid)

If you are interested in this Appeals Pharmacist job opportunity in Eden Prairie, MN then please click APPLY NOW. For other opportunities available at Adecco Engineering and Technical go to www.adeccousa.com. If you have questions about the position please contact Ashley Gruver at 315-385-4172 or ashley.gruver@adeccona.com


  • Apply with Adecco

Reference number US_EN_2_101084_321442