Clinical Pharmacist - Utilization Management

Point32health Inc

Base: $110,594.35 - $165,891.53; bonus/equity: var...
Prior authorization case reviews
Coverage determination processing
Regulatory compliance adherence

Salary

Base: $110,594.35 - $165,891.53; Bonus/Equity: Variable pay eligible; Benefits: Comprehensive medical, dental, vision, retirement, life insurance, tuition program

Skills & Requirements

Must-have

  • Prior authorization case reviews
  • Coverage determination processing
  • Regulatory compliance adherence
  • Medical director consultation
  • Provider communication

Nice-to-have

  • Empathy in member service
  • Collaborative team culture
  • Quality assurance focus
  • Policy interpretation skills

Key Requirements

  • Licensed Pharmacist credential
  • Experience with automated PA tools
  • Knowledge of regulatory guidelines

Work Rights

Not specified

Tailored Resume

Cover Letter