Talent.com
serp_jobs.error_messages.no_longer_accepting
Pharmacist

Pharmacist

Equity Staffing GroupIrving, TX, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

Clinical Pharmacist - Prior Authorization

Job Summary

We are seeking a Clinical Pharmacist to work in our Prior Authorization unit, reviewing cases and rendering coverage determinations based on clinical criteria and plan design in a fast-paced environment. This role requires collaboration with medical directors to render final decisions on coverage determinations and excellent communication skills to work effectively with healthcare professionals and internal teams.

Primary Responsibilities

  • Clinical Support and Decision-Making : Serve as a clinical resource, reviewing prior authorizations, gathering clinical information, and interpreting medical and pharmacy policy criteria to make coverage determinations.
  • Coverage Determination and Consultation : Consult with prescribing physicians and healthcare providers to clarify clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests.
  • Medication Utilization Review : Collaborate with pharmacy technicians and prescribers to provide clinical insights on medication usage, recommending cost-effective alternatives when applicable.
  • Regulatory and Policy Compliance : Maintain compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations.
  • Case Review and Clinical Assessment : Apply critical thinking to gather and evaluate complex medical and pharmacy data, making consistent and accurate coverage determinations.
  • Workload and Time Management : Effectively manage case volume, prioritize tasks, and meet productivity and quality benchmarks.
  • Team Collaboration and Communication : Demonstrate excellent interpersonal and communication skills, fostering a cooperative work environment.
  • Customer Service and Conflict Resolution : Respond promptly to inquiries and concerns, resolving escalated issues with a service-first mindset.
  • Quality Assurance and Continuous Improvement : Participate in audits, process evaluations, and training initiatives to support quality and service enhancements.

Requirements

  • Education and Licensure : Bachelor's or Doctorate of Pharmacy; Active State Pharmacist License
  • Customer Service Experience : 6+ months of customer service experience with healthcare professionals
  • Technical Skills : Basic proficiency with Microsoft Excel, Word, and Outlook
  • Availability : Able to work flexible hours, including overtime and weekends, with a schedule ranging from 5am to midnight
  • Home Office Requirements : Own home internet access, secure workspace, and level skill with working with PC
  • Additional Information

  • Training : 5-week training program with 8-hour shifts, Monday-Friday
  • Shift Schedule : 8-hour shifts with 1-hour lunch, 5 days a week, potentially including weekend days
  • Overtime and Holidays : May be required to work scheduled overtime and holidays dependent on business needs
  • serp_jobs.job_alerts.create_a_job

    Pharmacist • Irving, TX, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Clinical Pharmacist - Remote

    Clinical Pharmacist - Remote

    VirtualVocationsGrand Prairie, Texas, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Pharmacist (REMOTE).Key Responsibilities Review and process pharmacy prior authorization requests while ensuring compliance with policies and regulations Prov...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Pharmacist

    Clinical Pharmacist

    Driscoll Children's HospitalFort Worth, TX, US
    serp_jobs.job_card.full_time
    Driscoll Children's Hospital is a recognized leader in pediatric healthcare, proudly serving families across South Texas with compassion, innovation, and excellence. Our pharmacy department is an es...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Licensed Pharmacist

    Licensed Pharmacist

    VirtualVocationsIrving, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Pharmacist to work remotely in the USA.Key Responsibilities Review and complete criteria-based prior authorizations as per policy and procedure Utilize multiple techno...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Pharmacist - $78 per hour

    Pharmacist - $78 per hour

    Cook Children's Health Care SystemFort Worth, TX, US
    serp_jobs.job_card.full_time
    Cook Children's Health Care System is seeking a Pharmacist for a job in Fort Worth, Texas.Job Description & Requirements. Third Shift (United States of America).The midnight pharmacist provides ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Pharmacist I, Pharmacy Integration and Account Management

    Pharmacist I, Pharmacy Integration and Account Management

    Community Hospital CorporationPlano, TX, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Community Hospital Corporation (CHC), a DFW Top 100 Employer, is looking for a.This position is responsible for integration of CHC Supply Trust members, including the integration of new members, as...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Texas Licensed Clinical Pharmacist

    Texas Licensed Clinical Pharmacist

    VirtualVocationsFort Worth, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Pharmacist, Formulary Management.Key Responsibilities Support the creation and maintenance of standard formularies ensuring clinical appropriateness and accura...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Specialty Clinical Pharmacist II-Professional Development

    Specialty Clinical Pharmacist II-Professional Development

    CHRISTUS HealthIrving, Texas, US
    serp_jobs.job_card.full_time
    Description Summary : The Specialty Clinical Pharmacist is responsible and accountable for the provision of safe, effective, and prompt medication therapy. Specialty Clinical Pharmacists provide prof...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Pharmacist

    Travel Pharmacist

    Healthcare SupportIrving, TX, US
    serp_jobs.job_card.permanent
    Healthcare Support is seeking a travel Pharmacist for a travel job in Irving, Texas.Job Description & Requirements.At HealthCare Support, we specialize in offering healthcare professionals a se...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Reserve Pharmacist

    Reserve Pharmacist

    United States ArmyMesquite, TX, US
    serp_jobs.job_card.full_time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Staff Pharmacist

    Staff Pharmacist

    KabaFusionCarrollton, TX, US
    serp_jobs.job_card.full_time
    Come join an exciting and innovative company that puts the “care” back in healthcare!.At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Pharmacist - $2,856 per week

    Travel Pharmacist - $2,856 per week

    Healthcare SupportIrving, TX, United States
    serp_jobs.job_card.permanent
    Healthcare Support is seeking a travel Pharmacist for a travel job in Irving, Texas.Job Description & Requirements.HealthCare Support is actively seeking a. Weekdays 10AM – 7PM or 11AM-8PM (Weekends...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Pharmacist - Travel Job

    Pharmacist - Travel Job

    Jackson PharmacyProsIrving, TX, US
    serp_jobs.job_card.full_time +1
    Setting : Compounding Pharmacy We're hiring a licensed pharmacist for a contract position where you’ll use your clinical expertise to ensure the safe and thoughtful distribution of medications to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
    • serp_jobs.job_card.promoted
    Pharmacist

    Pharmacist

    BrightSpring Health ServicesIrving, TX, United States
    serp_jobs.job_card.full_time
    We are looking for a Pharmacist to join our Pharmacy team as we grow to be one of the top home infusion providers in the country. The Pharmacist will report to the Pharmacy Manager and work in our C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Pharmacist

    Pharmacist

    TradeJobsWorkForce75225 University Park, TX, US
    serp_jobs.job_card.full_time
    Compounding and dispensing medications, as prescribed by physicians.Monitoring customers’ drug therapies, advising interventions, and informing customers of any potential side effects.Instructing c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Pharmacist Operations Advisor

    Pharmacist Operations Advisor

    VirtualVocationsIrving, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Pharmacist - Specialty Prior Auth.Key Responsibilities Conduct clinical reviews of medical data to approve or deny prior authorization requests for specialty medication...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Texas Licensed Prior Authorization Pharmacist

    Texas Licensed Prior Authorization Pharmacist

    VirtualVocationsIrving, Texas, United States
    serp_jobs.job_card.full_time
    A company is looking for a Remote Prior Authorization Pharmacist.Key Responsibilities Review and process prior authorization requests based on policy and procedure Ensure compliance with PBM gui...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    503A Staff Pharmacist

    503A Staff Pharmacist

    FARMAKEIO RICHARDSONRichardson, TX, US
    serp_jobs.job_card.full_time
    FARMAKEIO RICHARDSON is seeking a dedicated.Join our team at a cutting-edge facility where innovation meets compassionate patient care. As a key team member, you will play a vital role in compoundin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Remote Pharmacist

    Remote Pharmacist

    Equity Staffing GroupArlington, TX, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Clinical Pharmacist - Prior Authorization.We are seeking a Clinical Pharmacist to work in our Prior Authorization unit, reviewing cases and rendering coverage determinations based on clinical crite...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Pharmacist - BMT and Malignant Hematology

    Clinical Pharmacist - BMT and Malignant Hematology

    UVA HealthFort Worth, TX, US
    serp_jobs.job_card.full_time
    RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Clinical Pharmacist

    Clinical Pharmacist

    Suvida Healthcare LLCDallas, Texas, United States, 75208
    serp_jobs.job_card.full_time
    At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling j...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30