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Medical Specialty Utilization Review Pharmacist

Primary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix
This is a full time telework opportunity open to candidates across the country. The hours are 40 hours per week with mandatory Saturdays and Sundays working 8 or 10 hour shifts.

The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.

Fundamental Components:
This role will work from Aetna supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.

Background Experience:
1+ year experience in high volume transaction call center or production environment required .
Licensed Pharmacist required.
Degree in Pharmacy required
In-depth knowledge and experience in managed care / managed pharmacy / competitive environment. preferred

Additional Job Information:
Weekends, and late shift
Telework role

Pharmacy - Licensed Pharmacist

Potential Telework Position:

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)


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