Pharmacist - Utilization Management (UM) - Remote
Highmark Health(26 days ago)
About this role
A Pharmacist at Highmark performs coverage determinations for medication prior authorization requests and appeals. The role evaluates clinical information supplied by physicians against medical policy using the Utilization Review system. The position may involve conducting additional clinical research beyond policy review to inform coverage decisions.
Required Skills
- Medication Review
- Prior Authorization
- Appeals Review
- Utilization Review
- Clinical Research
- Communication
- Problem Solving
- Compliance
- Computer Skills
- Prioritizing
Qualifications
- Bachelor's Degree in Pharmacy
- Doctorate Degree in Pharmacy
- Registered Pharmacist
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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