Prior Authorization Pharmacist; Hybrid

4 days ago Be among the first 25 applicants

Do you want to join a leading healthcare team focused on nurturing long-term patient and caregiver relationships? Do you want to be a part of a company that is committed to hiring the best people and using the best technology and tools to deliver improved health outcomes for patients and partners? If so, take a look at the available career opportunities at Curant Health.

Curant Health is searching for a Prior Authorization Pharmacist to join its team in Smyrna, GA. The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations. This role involves processing and evaluating PA requests, supervising PA specialists, and serving as a clinical resource to both internal and external stakeholders.

• Review and process prior authorization requests based on clinical criteria and member benefits.
• Coordinate drug utilization review reports and ensure compliance with regulatory requirements.
• Handle clinical calls from Customer Care for medication-related prior authorizations.
• Manage PA appeals and ensure adherence to policies and procedures.
• Act as a clinical resource for internal teams, prescribers, and clients.
• Monitor and improve the quality and efficiency of the Coverage Determination process.
• Stay updated on clinical guidelines and provide relevant insights for program development.
• Supervise the Prior Authorization Department, ensuring operational efficiency and training.
• Develop and implement departmental protocols and training materials.

• Doctor of Pharmacy (Pharm
  
  D) with at least 2 years of experience and licensed in the state of practice.
• Prior experience with prior authorizations, clinical pharmacy, and managed care is preferred.
• Knowledge of PBM, formulary management, and 340B is a plus.

We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.

Entry level

Full-time

Health Care Provider

Hospitals and Health Care

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