FairosRx Clinical Pharmacist (Full-Time) at The OccuNet Company

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Full Time

Start Date

Immediate

Expiry Date

22 Dec, 25

Salary

0.0

Posted On

23 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pharmacy, Clinical Guidance, Prior Authorization, Communication, Interpersonal Skills, Problem-Solving, Data Analysis, Cost-Savings, Teamwork, Motivation, HIPAA Compliance, Confidentiality, Microsoft Office, Multi-Tasking, Adaptability, Patient Services

Industry

Insurance

Description

The OccuNet Company is an innovative company striving to reduce the cost of healthcare. We are a passionate group of people that care about affordable access to healthcare without sacrificing experience. We strive to make healthcare more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven levers to contain rising healthcare costs while taking an experience-centric approach improving the health and well-being of those we serve. We pride ourselves on our tight knit culture based on the ‘outward mindset’ philosophy, emphasizing empathy, mutual respect, and seeing each other as “whole people.” We have an ambitious vision and are growing quickly. We are seeking team members who are excited about our growth, seeking to thrive in a fast-paced environment, and enthusiastic about developing their skills and career alongside us. Job Title: FairosRx Clinical Pharmacist (Full-Time) Job Summary: As the FairosRx Clinical Pharmacist (Full-Time), you will contribute to the exceptional FairosRx pharmacy benefit management team by delivering superior client and patient services. What it’s Like to Work Here: At OccuNet, you matter like we matter! Our team members share a positive attitude, an outward mindset, problem-solving abilities, and patience, enabling them to provide excellent customer service even during challenging situations. Our culture, plus continuous opportunities for growth, has resulted in an industry-low turnover rate. Don’t miss out on this rare opening with us! A Day in the Life: The FairosRx Clinical Pharmacist (Part-Time) position provides clinical guidance and support to our Member Advocates and Account Executives. You will also be responsible for reviewing prior authorization requests in accordance with member benefits and coverage criteria within defined turn-around times. Duties & Responsibilities: Review of prior authorization requests in accordance with member benefits and coverage criteria within defined turn-around times. Review prior authorizations and determine opportunities for interventions. Coordinate appeals. Provide clinical guidance and support to member advocates and account executives. Work with prescriber to provide other clinically equivalent but cost-effective alternatives. Receive/make phone calls from/to providers or members for clinical information and consulting. Analyze data to identify drug utilization trends and cost-savings opportunities. Generate and analyze prior authorization reports as well as other drug related reports. Continuously work to streamline and improve the quality of the prior authorization and drug utilization management processes. Motivates and works with clinical staff to ensure that performance standards are met or exceeded. Ensures clinical staff are appropriately educated on new programs, procedures, etc. Assist with other duties and special projects as assigned. Uphold compliance standards relating to HIPAA and Department of Labor guidelines when corresponding with providers and maintaining documentation. Maintain confidentiality of sensitive information. Required Skills and Abilities: S. in Pharmacy or Doctor of Pharmacy (Pharm.D) degree required. Active, current and unrestricted pharmacist license/registration required; State of Texas preferred. One year of direct prior authorization experience required. Working knowledge of MediSpan data system, including GPI drug classification required. Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences. Able to multi-task effectively and transition between tasks frequently. Able to maintain focus when presented with interruptions. Proactive problem-solving skills. Proficient computer skills, including Microsoft Office Suite. Team-first mindset with a high level of motivation and drive. Persistent with a drive to see tasks through when objectives are not met on the first try. Passionate and proactive about contributing to organizational missions focused on improving member experiences. Ability to remain calm and work efficiently in a fast-paced environment. Prolonged periods sitting or standing at a desk and working on a computer. Full-time, Monday to Friday 8 am – 5 pm CST. On-site, in-person working location in Amarillo, TX. Ready to apply? If this job sounds like a fit for you, then click on the ‘apply’ button below. Good luck! Culture and Opportunities We pride ourselves on our outward mindset – supporting each other and putting the team and the clients we serve first High-growth environment with clear opportunities for career growth Welcoming atmosphere and culture Benefits 401(k) with matching Dental insurance Health insurance Vision insurance Health savings account Paid time off

Responsibilities

The FairosRx Clinical Pharmacist will provide clinical guidance and support to Member Advocates and Account Executives while reviewing prior authorization requests. The role involves analyzing data to identify drug utilization trends and cost-saving opportunities.