This position is a temporary assignment. As a contractor, you’ll be employed by Magnit, not The Cigna Group or any subsidiaries of The Cigna Group.
LOCATION & SCHEDULE
This is a fully remote role open to candidates across the US.
Hours:
Training Hours: M-F 9am-5:30pm EST
Working Hours: M-F 9:30am - 6pm in their respective time zone
ROLE OVERVIEW – 37729414 Staff Pharmacist
Utilization management pharmacists are responsible for reviewing each plan’s policy to determine if coverage can be granted for medication.
Provide clinical support and oversight for all utilization management (UM) activities.
Responsible for finalizing all denials of clinical prior authorization requests.
RESPONSIBILITIES:
Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions
Applies critical thinking to achieve proper clinical decisions when performing clinical reviews
Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews
Works and maneuvers within a queue system that prioritizes clinical reviews
Makes clinical decisions quickly and at times decides and acts with limited information
Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience
SKILLS:
Proficient technical skills utilizing Microsoft Office applications required
Strong Clinical Knowledge
Detailed Review and Decision-Making ability
2+ years lead/supervisor or retail pharmacy experience preferred
Utilization Management preferred
Experience with Specialty Pharmacy/Pharmaceuticals preferred
EDUCATION & CERTIFICATIONS:
Active Pharmacist Licensure, Required
Bachelor’s Degree in Pharmacy required; PharmD preferred
Hourly Pay Rate Range (dependent on location, experience, expectation)
The pay range that Magnit reasonably expects to pay for this position is: $53.00.00/hour-$60.00/ hour. Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)
We are unable to provide visa sponsorship or STEM OPT training.
The operation of this talent community is a global leader of contingent talent services. Our success and our clients’ success are built on a foundation of service excellence. We are an equal opportunity employer, and we do not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability, genetic information, or other applicable legally protected characteristic. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Unincorporated LA County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: client provided property, including hardware (both of which may include data) entrusted to you from theft, loss or damage; return all portable client computer hardware in your possession (including the data contained therein) upon completion of the assignment, and; maintain the confidentiality of client proprietary, confidential, or non-public information. In addition, job duties require access to secure and protected client information technology systems and related data security obligations.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
