The Prior Authorization Pharmacist provides educational and consultant services in the field of pharmacology and drug therapy medical professionals.  Reviews prescription prior authorizations and uses clinical knowledge to provide appropriate approvals or denials. Work Schedule: Monday through Friday, 8:00am to 5:00pm. Will be required to work rotating shifts, including holidays, weekends, Nights and on-call.

Our Company

Did you know that nearly 90% of the US population lives within 5 miles of a pharmacy and see their pharmacist on average 12 times a year? Pharmacy is at the heart of healthcare, and having a positive patient experience is critical to ensuring our patients stay on their therapies.

Join the Maxor team and have a direct impact on patients’ lives, while improving your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a real difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide technology and services that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.

• Review non-formulary drug requests using predetermined criteria.
• Review prior authorization requests using predetermined criteria and other medication resources.
• Maintain current knowledge of drug therapies and drug reactions and interactions by reading professional literature, attending seminars and through professional affiliations.
• Provides drug information to meet the needs of medical and nursing staff members through direct contact or in-service programs.
• Prepare drug reviews, agendas, and other required materials for Pharmacy & Therapeutic (P&T) Committee meetings as assigned.
• Contact and confer with pharmacists and physicians regarding questions or irregularities on prescriptions.
• Attend and participate in other programs, committees, meetings, and functions as required.
• Perform retrospective drug utilization review: identify drug, physician and patient utilization trends; make interventions as appropriate via letters, phone calls, meetings, educational programs, mail order intervention programs; monitor and document outcomes as needed.
• Work with Lead PA Pharmacist to identify operational efficiencies within the PA department.
• Assist in the review of new drugs entering market and potential implication of drug costs and report the findings to management.
• Work cooperatively with other staff members to enhance the team concept.
• Assist with creating operating efficiencies for Clinical Associates.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training as required.

Education:                              Graduation from an accredited school of Pharmacy required.  Must be licensed in and in good standing.

Experience:                            At least one-year clinical pharmacy experience.  One to two years’ experience in the managed care and pharmacy benefit management (PBM) industries preferred.

Knowledge, Skills and Abilities:

• Ability to organize and establish priorities.
• Ability to communicate effectively, both verbally and in writing.
• Skill in the use of personal computers and related software applications.
• Good computer skills in general with the ability to learn new software programs and applications
• Ability to clearly communicate medical information to professional practitioners and/or the general public.
• Ability to develop and maintain recordkeeping systems and procedures.

WHY MAXOR?

A diverse, progressive culture that supports a flexible work model and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:

• Competitive compensation package
• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA
• Employer-matched 401k Plan
• Industry leading PTO plan
• And more!

Apply today by sharing your resume at: https://www.maxor.com/careers/     

Maxor is an EOE, including disability/vets