Coverage Review Pharmacist
The Judge Group Inc.

Philadelphia, Pennsylvania

Posted in IT

Job Info

Location: REMOTE
Salary: $50.00 USD Hourly - $58.00 USD Hourly
Description: Our client is currently seeking a Fully Remote Coverage Review Pharmacist

This job will have the following responsibilities:

  • Responsible for various activities associated with coverage reviews and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on medications.
  • Performs prospective and retrospective coverage reviews and appeals per State and Federal regulations
  • Responds to prescriber, pharmacy provider, member appeals, grievances and complaints related to the provision of pharmaceutical services within established time period
  • Builds and maintains decision trees in the prior authorization system
  • Maintains denial rationale associated with clinical criteria and ensures that decision letters meet regulatory compliance

Qualifications & Requirements:
  • BA/BS degree in Pharmacy or Pharm D
  • Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the state of Tennessee to practice Pharmacy
  • 3 years - Clinical experience required
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Competency in compendia navigation and research

Qualified and interested candidates, please send your most updated resume to for immediate consideration, and times you're available for a call to discuss the position.

Thank you and I look forward to speaking with you

This job and many more are available through The Judge Group. Find us on the web at

More IT jobs

Petersburg, Virginia
$30.00 - $55.00 per hour
Posted about 9 hours ago

Petersburg, Virginia
$30.00 - $55.00 per hour
Posted about 9 hours ago

American Cybersystems, Inc.
New York, New York
$150,000.00 - $170,000.00 per year
Posted about 7 hours ago

Get Hired Faster

Subscribe to job alerts and upload your resume!

*By registering with our site, you agree to our
Terms and Privacy Policy.

Share diversity job

Coverage Review Pharmacist is posted on all sites within our Diversity Job Network.

African American Job Search Logo
Hispanic Inclusion Jobs Logo
Asian Job Search Logo
Women Inclusion Jobs Logo
Diversity Inclusion Jobs Logo
Seniors to Work Logo
Black Inclusion Jobs Logo
Veteran Job Center Logo
LGBT Job Search Logo
Asian Inclusion Jobs Logo
Disabled Job Seekers Logo
Senior Inclusion Jobs Logo
Disability Inclusion Jobs Logo
US Diversity Job Search Logo
LGBTQ Inclusion Jobs Logo
Hispanic Job Exchange Logo