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Pharmacist

Remote · Nigeria Full-time

Pharmacist Philadelphia PA Remote - EST Duration till: 02/15/2027 Pay: $71.58/hr This will be a remote position, the work schedule will be Monday through Friday, 10:00 AM to 6:30 PM EST. Please note that the shift schedule may also be adjusted in the future to meet operational demands. The pharmacist must hold an active pharmacist license in good standing in any U.S. state. Duties: - As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products. - Determinations include medical necessity and benefit decisions. - Decisions are made in accordance with established pharmacy guidelines, prior authorization criteria, industry regulations and sound clinical judgment. - Prior Authorization Pharmacist (R) works independently with respect to reviews and decision making, with the support of Pharmacist II (R)s and supervisors. - Pharmacist (R) works as a member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. - This position includes a rotating weekend schedule if business needs dictate. Additional responsibilities include: - Provide clinical support to the Perform Rx Customer Care Center - Engage providers in discussions to support determinations - Support Fraud and Abuse program oversight - Keep abreast of industry trends and regulatory changes - Keep abreast of operational directives and customer reference materials Skills: - No experience required, Prior Authorization or Coverage Determination experience preferred - Proficient PC skills in a Windows based environment Education: - Bachelor's Degree, PharmD preferred Current Pharmacist license #AlliedTech1 Why TalentBurst? - At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth. - Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. - We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options. - TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce.

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