Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
Determines appropriateness for medications.
Communicates decision to physicians, physician's office staff, medical management staff, and/or pharmacists.
Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician's office staff, medical management staff, and/or pharmacists.
Researches, resolves, and documents prior authorization outcomes in the pharmacy system.
Escalates requests to Pharmacist when request requires extensive clinical review or denial.
Researches, resolves, and documents physician or client inquiries and grievances.
Provides verbal or written results to client, prescriber, provider, and/or management.
Performs other duties as required.
Additional openings in various locations across PA, TX, IN, MA, VA, NY, TX, UT, AZ, CA, OH, OR, GA, WI, NV, MO, MI.
Internal Number: 003
About Integrated Resources
Founded in 1996, Integrated Resources, Inc. has spent two decades streamlining both the hiring and job hunting process for people and companies nationwide. It is our great pride and mission to help companies grow and evolve their hiring process through the streamlined addition of top talent and consistent support as a strategic partner and employer of choice. We provide a variety of specialized staffing and talent acquisition solutions to high volume, high powered companies in Life Sciences, Healthcare and Technology industries who are looking to simplify their talent acquisition process to facilitate growth.