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Lead Clinical Review Pharmacist

Blumberg CapitalAI & company
RemoteLead
Operations & Strategy

About the role

Manage a team of Prior Authorization Pharmacists at SmithRx.

  • SmithRx is looking for a motivated manager to help manage a team of Prior Authorization Pharmacists.
  • Key Responsibilities Directly manage, coach, and mentor a team of prior authorization Pharmacists Responsible for driving and maintaining regulatory, compliance, and accreditation standards on the clinical review team Recruit and hire new team members Lead training and onboarding for all new team members Provide day-to-day supervision, support, and escalation path for Pharmacists on your team Requirements 5+ years of health plan or pharmacy benefit manager experience, specifically involved in prior authorization review 3-5+ years of management experience required Familiarity with various regulatory (ERISA, ACA, Medicare) and accreditation requirements (URAC, NCQA) Proficiency in Mac, MS Office, G-Suite required Active Pharmacist License required
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