Prior Authorization Pharmacist

Job Description Job Description \n \n Role / Responsibilities \n \n Review and make determinations on prior authorization requests for medications under the pharmacy benefit \n Conduct peer-to-peer calls with prescribers regarding adverse determinations \n Participate in clinical quality audits and inter-rater reliability testing \n Support internal teams with pharmacy escalations and clinical questions \n Apply clinical expertise to ensure appropriate and safe medication use \n Maintain compli…