Prior Authorization Pharmacist (100% work-from-home) Job at Adecco USA, Phoenix, AZ

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  • Adecco USA
  • Phoenix, AZ

Job Description

Adecco Healthcare & Life Sciences is hiring remote Pharmacists! This role is work from home and all equipment is provided. Please note you must reside within AZ, NV, ID, MT, NM or UT for consideration. Please read below and reply with an updated resume for consideration. Type: 9-month contract beginning in August, with opportunity to extend or full-time offer Schedule: 8-hour shift between 5am and Midnight, 5 days a week which may or may not include a weekend day(s) Pay: $54.70 to $63.70 an hour, based on location Training for the first four weeks is Monday through Friday from 8:00am-5:00pm. This training time is subject to change. Shift after training is an 8-hour shift with one-half or an hour lunch. Candidate must be available as early as 5am and as late as midnight. Candidate will work 5 days a week which may or may not include a weekend day(s). Primary Responsibilities:

  • Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, clarify, and assess detailed clinical information.
  • Interpret medical and pharmacy policy criteria to make sound and timely coverage determinations in accordance with federal, state, and organizational guidelines.
  • Consult directly with prescribing physicians and healthcare providers to clarify clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. Ensure determinations are clinically sound, evidence-based, and compliant with applicable regulations and payer policies.
  • Collaborate with pharmacy technicians and/or prescribers to provide clinical insights on appropriate medication usage. Recommend cost-effective, formulary-compliant therapeutic alternatives when applicable, supporting optimal patient care and medication access.
  • Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies.
  • Apply critical thinking and advanced clinical judgment to gather and evaluate complex medical and pharmacy data. Use established clinical guidelines, benefit policies, and drug utilization criteria to make consistent and accurate coverage determinations within required timeframes.
Required Qualifications:
  • Bachelors or Doctorate of Pharmacy
  • Active State Pharmacist License
  • 6+ months of pharmacist experience
  • Must reside within AZ, NV, ID, MT, NM or UT
  • Able to work 5am to 12:00am midnight with ability to work flexible hours, including OT and weekends.
Why work for Adecco?
  • Weekly Pay
  • 401(k) Plan
  • Skills Training
  • Excellent medical, dental, and vision benefits
Pay Details: $54.70 to $63.70 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Adecco USA

Job Tags

Hourly pay, Weekly pay, Full time, Contract work, Temporary work, Local area, Remote work, Flexible hours, Shift work, Night shift, Monday to Friday,

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