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Drug Utilization Review (DUR) Pharmacist

Company: TALENT Software Services
Location: Oakland
Posted on: September 24, 2022

Job Description:

Drug Utilization Review (DUR) PharmacistJob Summary: Talent Software Services is in search of a Drug Utilization Review (DUR) Pharmacist for a contract position in Oakland, CA. The opportunity will be Four Months with a strong chance for a long-term extension.Primary Responsibilities/Accountabilities:

  • The day-to-day job responsibilities in this role include reviewing prior authorization requests, and utilizing Client's P&T-approved clinical coverage criteria, for clinical appropriateness and medical necessity within the regulatory turnaround times.
  • All prior authorization cases are reviewed by our pharmacy technicians and approved when possible utilizing our P&T approved coverage criteria.
  • Any potential denials require a clinical review by a pharmacist before a final denial is sent to the provider/member.
  • In addition, various potential approvals for high cost medications require a clinical review by a pharmacist.
  • This position has been added to help support 2022 business needs.Qualifications:
    • Thorough clinical knowledge regarding therapeutic use of drugs.
    • Excellent oral and written communication skills.
    • Proficient with computers and related software application.
    • Candidate must be willing to grasp the "team concept and overall goals of the department.
    • Familiarity with clinical compendia (Micromedex, Clinical Pharmacology, NCCN, AHFS, etc)Preferred:
      • Pharmacy Benefit Manager (PBM)/Managed Care experience. CVS COS system experience.
      • Prior Authorization review experience.
        • Completion of residency program (not strictly required) If this job is a match for your background, we would be honored to receive your application!Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities including contract, contract to hire and permanent placement. Let's talk!

Keywords: TALENT Software Services, Oakland , Drug Utilization Review (DUR) Pharmacist, Healthcare , Oakland, California

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