Prior Authorization Pharmacist

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Oscar

51 - 200 employees

🎯 Recruiter

🏢 Enterprise

💰 $140M Private Equity Round on 2020-12

Recruitment • Enterprise

Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.

📋 Description

• Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs • Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations • Participate in clinical quality audits and inter-rater reliability testing • Provide internal team support for escalations and questions • Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers. • Compliance with all applicable laws and regulations • Other duties as assigned

🎯 Requirements

• 3+ years of experience as a licensed pharmacist • 2+ years of experience performing prior authorization review in a managed care setting • Active, unrestricted pharmacist license • Doctor of Pharmacy Degree • Willingness to obtain licensure/training with new states

🏖️ Benefits

• employee benefits • participation in Oscar's unlimited vacation program • annual performance bonuses

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