Texas Licensed Clinical Pharmacist

A company is looking for a RPh Operations Advisor specializing in Aetna Medical Prior Authorizations.

Key Responsibilities

Conduct reviews of medical data for prior authorization of specialty medications

Apply clinical knowledge to develop approved criteria for case reviews

Handle inbound calls from physicians or members regarding prior authorization status

Required Qualifications

Active pharmacist license in state of residence in good standing

2+ years of clinical pharmacist experience

1+ years of experience issuing clinical determinations within Prior Authorizations

Current experience with Novologix system and Aetna Medical Prior Authorization Operations

Bachelor of Pharmacy or PharmD degree