Prior Authorization Pharmacist

Oscar Health

Remote, US
Base: $111,780 - $146,711.25 py; bonus/equity: ann...
Remote
Prior authorization review experience
Managed care setting experience
Peer-to-peer communication skills
Oscar Health is seeking a remote Prior Authorization Pharmacist to join their Pharmacy Team, focusing on the review and decision-making process for prior authorizations. The company emphasizes its tech-driven approach to health insurance and aims to create a supportive environment for its employees

Job Summary

  • Oscar Health is seeking a Prior Authorization Pharmacist to join their Pharmacy Team as a reviewer of prior authorizations.
  • The role involves reviewing decisions on authorizations and appeals for various drug types while conducting peer-to-peer calls with prescribers.
  • Candidates are eligible for employee benefits including medical, dental, vision, unlimited vacation, and annual performance bonuses.

Matching Summary

Match Score: 85

Oscar Health is seeking a remote Prior Authorization Pharmacist to join their Pharmacy Team, focusing on the review and decision-making process for prior authorizations. The company emphasizes its tech-driven approach to health insurance and aims to create a supportive environment for its employees.

Salary

Base: $111,780 - $146,711.25 per year; Bonus/Equity: Annual performance bonuses eligible; Benefits: Medical, dental, vision, 401(k), paid holidays, parental leave

Skills & Requirements

Must-have

  • Prior authorization review experience
  • Managed care setting experience
  • Peer-to-peer communication skills
  • Clinical quality audit participation
  • Applicable laws and regulations compliance

Nice-to-have

  • Board certification in pharmacy
  • Residency training background
  • Specialty pharmacy practice experience
  • Clinical criteria application expertise
  • Willingness to obtain new state licensure

Key Requirements

  • Doctor of Pharmacy Degree required
  • Active unrestricted pharmacist license
  • 3+ years licensed pharmacist experience
  • 2+ years prior authorization review in managed care
  • Willingness to obtain licensure in new states

Work Rights

Not specified

Tailored Resume

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