Clinical / Prior Authorization Pharmacist- Sugarland

A Pharmacist job in Sugarland, TX is available through Adecco Medical & Science. This position is for a Clinical Pharmacist working in the Prior Authorization unit of OptumRx, a UnitedHealth Group company. This is a call center based business segment and strict work guidelines are employed. The pharmacist’s primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.

Primary Responsibilities:

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
Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of OptumRx.
Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.

Details:


Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday. This training time is subject to change
Shift after training is an 8 hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnight.
Candidate will work 5 days a week which may or may not include a weekend day(s).
There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
Excellent Attendance is a must


If you are interested in this Pharmacist job in Sugarland, TX then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position or would like more information, please contact Sindie Rothstein at 858-410-1108 or by email at Sindie.rothstein@adeccona.com

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Reference number US_EN_2_108175_333684