Apex Systems LLC, a division of On Assignment, is an IT staffing and services firm specializing in providing IT professionals for contract, contract-to-hire, and direct placements. Apex also offers recruitment solutions for other select professional skills and workforce needs
Job DescriptionClinical Pharmacist
Hours of Operation for the site: currently 7:00am - 7:30pm EST. workers will have one of the following shifts: following shifts (subject to change): 7:00am-3:30pm, 8:00am-4:30pm, 9:00am-5:30pm, 10:00am-6:30pm, 11:00am-7:30pm, OT typically voluntary based on volume of work, sometimes mandatory
Position Summary: Responsible for reviewing clinical coverage determination and appeals using Medicare and client specific requirements. Knowledgeable in all aspects of coverage determination and appeals process and assist in meeting clients expectations regarding efficiency, services levels, privacy maintenance and quality decision making. Work as part of the team to meet business unit objectives. The Pharmacist will be responsible for reviewing medication exception request, as well as completing data analysis and various clinical projects. Escalate issues to Coverage Determinations and Appeals management team as needed. Position will require schedule flexibility including rotations through nights, weekend and holiday coverage. All other duties are required to meet business needs.
Duties: Responsibilities 1.Review the information provided upon request by utilizing the designated tools (web based) for further research. High proficiency in computer skills is necessary including but not limited to Microsoft Word, Microsoft Excel, and web based programs. 60% 2.Outreach for additional information. May include Pharmacy, Prescribers, Members, etc. as appropriate 25% 3.Data Entry (Electronic Database) recording decision making, inputting clinical notation, request for additional information, faxes, summary, etc. 10% 4.Training - attending meetings, online job aides, process changes, new initiatives, communication, etc. both formal and informal training 5%
Qualifications- Minimum of 6 months as a Pharmacist
- Must have an active Pharmacist License in the state of OH.
Apply Now and look for Ron Autor! 469-729-5756
All your information will be kept confidential according to EEO guidelines.
Skills Required
- Minimum of 6 months as a Pharmacist
- Must have an active Pharmacist License in the state of OH
Apex Systems Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Apex Systems and has not been reviewed or approved by Apex Systems.
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Healthcare Strength — Health benefits include medical, dental, vision, life insurance, and short- and long-term disability, and are described as good or comprehensive for internal employees. In some cases the health package is called generous.
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Retirement Support — Retirement offerings include a 401(k) plan with company match for U.S. employees and Registered Retirement Plans in Canada. These programs sit alongside core benefits for internal staff.
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Leave & Time Off Breadth — Internal full-time employees receive vacation and holiday pay, paid parental leave, and PTO that can be flexible or expand with tenure. Some internal roles note unlimited PTO after one year.
Apex Systems Insights
What We Do
Apex Systems is a world class technology services business that incorporates industry insights and experience to deliver solutions that fulfill our clients’ digital visions. We provide a continuum of service from workforce mobilization and modern enterprise solutions to digital innovation to drive better results and bring more value to our clients. Apex transforms our customers with modern enterprise solutions tailored to the industries we serve. Apex has a presence in over 70 markets across the US, Canada, and Mexico.
