Multiple openings for Pharmacists in Oklahoma City, OK. These are long term contract positions.
Must be licensed Pharmacist in state of Oklahoma.
• Clinical Pharmacist working in the Prior Authorization unit within Customer Service department
• Primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design.
• Consult physicians with questions and interpretations of clinical guideline criteria and coverage determinations rendered.
• Participate in interdepartmental meetings with the Clinical Services & Client Management teams
• Participate and contribute to Prior Authorization clinical medication guideline development and revision process.
• Participate in quality improvement and process enhancement projects as assigned by management.
• Consults with customers, patients and/or physicians regarding use of medications and potential drug interactions
• Interprets physicians' prescriptions and interprets prescription information from computer system