Telephonic Prior Authorization Pharmacist - Virginia, (M-F 10:30a - 7p EST)

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)       
Get better informed to determine your fit into this position. Click here to view the Realistic Job Preview: http://uhg.hr/ClinicalPharmacistRJP   
 
 
Work Schedule: Monday - Friday 10:30am – 7:00pm – EST

Primary Responsibilities:


Interprets physicians' prescriptions and creates orders, accesses, inputs, and retrieves prescription information from the computer system and verifies whether the order is reimbursable
Consults with customers, patients and/or physicians regarding use of medications and potential drug interactions
Conducts Quality Assurance and verifies the accuracy of all prescriptions
Handles drug utilization review calls
Reviews and approves/denies requests for prescription prior authorizations
Analyzes and investigates concerns
Provides explanations and interpretations within area of expertise
Follow clinical guidelines set by plan and evaluates patient history in making clinical decision
Participating in a voluntary and/or mandatory overtime schedule

Required Qualifications:

Pharmacist license in good standing in the state of Virginia
BS in Pharmacy or PharmD degree
Minimum 3 years of experience as a Pharmacist in retail, a hospital, or managed care setting
Microsoft Word and Outlook with the ability to navigate a Windows environment
Preferred Qualifications:

Managed Care experience
Prior authorization experience
Independent, motivated worker
Strong clinical background and knowledge
Excellent written and verbal communication skills
 
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.  UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
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