Healthcare Financial Clearance/Authorization: I

Immediate need for a talented Pharmacy Operations Senior Representative. This is a 03+ Months Contract opportunity with long-term potential and is located in IL, TX, TN, NM, OK or MT (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-23776 Pay Range: $20 - $22/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities

Title: Clinical Pharmacist Advisor - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelines, departm

Day to Day ResponsibilitiesRequest medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.Validate provider contact information and update department repository accurately.Follow up on medical records and/or response requests via phone or email and implement appropriate action.Manage incoming medical records/responses accurately and timely.Review medical records upon receipt for content prior to sending for clinical review.Follow up

Title: Clinical Pharmacist Advisor - Medicare - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelin