REQ#: RQ197951Public Trust: None Requisition Type: Regular Your Impact

Own your opportunity to work alongside federal civilian agencies. Make an impact by providing services that help the government ensure the well being of U.S. citizens.

Job Description

Healthcare Clinical Evaluator Advisor-Pharmacist

Drive better health outcomes for our clients as a Pharmacists at GDIT. Here, your work will impact many as you deliver healthcare expertise and services where they are needed most.

At GDIT, people are our differentiator. As a Pharmacist you will help ensure today is safe and tomorrow is smarter. Our work depends on a Pharmacist joining our team to provide world class customer service to our client. We are looking for a detail oriented, customer

focused Pharmacist to support our Prior Approval team in a call center environment. The Pharmacist will review prior approval request using clinical information to ensure timely adjudication, accurate decisions in compliance with State approved clinical criteria.

HOW A HEALTHCARE CLINICAL EVALUATOR ADVISOR-Pharmacist WILL MAKE AN IMPACT 

Responsible for reviewing prior approval requests by reviewing patient-specific clinical documentation, treatment history, and preferred drug list.You will work as a individual contributor to ensure that prior approval requests are adjudicated in a timely manner assisting with meeting SLA requirements.You will be working with a team of Pharmacists and pharmacy technicians to ensure that we are properly adjudicating prior approval requests in accordance with North Carolina's approved criteria. Answer incoming calls related to PA requirements, status updates,or general inquiries, providing world class customer service.Recognizes, evaluates, interprets, recommends and implements policies and procedures for specific components of pharmacy services.Provide medical expertise in prior approval pharmacy services.

WHAT YOU’LL NEED TO SUCCEED:

Education: PharmD or undergraduate degree in Pharmacy with residency or advanced clinical experience. Unrestricted State Licensure Required.Required Experience: 8+ years of clinical Pharmacy experience

Required Technical Skills:

Working knowledge of how to navigate computer systems, email, Microsoft suite (Word, Excel, PowerPoint etc.), telephone software.Required Skills and Abilities: Ability to work independently, strongcommunication skills, ability to problem solve and facilitate agreement, ability to work a weekly rotating schedule to include weekends and holidays.

Preferred Skills:

Familiarity with Medicaid, Medicare Part D, or PBM operations. Prior experience with call center operations or customer service roles a plusLocation: HybridUS Citizenship Required

GDIT IS YOUR PLACE:

401K with company matchComprehensive health and wellness packagesInternal mobility team dedicated to helping you own your careerProfessional growth opportunities including paid education and certificationsCutting-edge technology you can learn fromRest and recharge with paid vacation and holidays