JOIN A LEADING HEALTHCARE COMPANY
Do you want to join a leading healthcare team focused on nurturing long-term patient and caregiver relationships? Do you want to be a part of a company that is committed to hiring the best people and using the best technology and tools to deliver improved health outcomes for patients and partners? If so, take a look at the available career opportunities at Curant Health.
Curant Health is searching for a Prior Authorization Pharmacist to join its team in Smyrna, GA. The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations. This role involves processing and evaluating PA requests, supervising PA specialists, and serving as a clinical resource to both internal and external stakeholders.
Key Responsibilities:
- Review and process prior authorization requests based on clinical criteria and member benefits.
- Coordinate drug utilization review reports and ensure compliance with regulatory requirements.
- Handle clinical calls from Customer Care for medication-related prior authorizations.
- Manage PA appeals and ensure adherence to policies and procedures.
- Act as a clinical resource for internal teams, prescribers, and clients.
- Monitor and improve the quality and efficiency of the Coverage Determination process.
- Stay updated on clinical guidelines and provide relevant insights for program development.
- Supervise the Prior Authorization Department, ensuring operational efficiency and training.
- Develop and implement departmental protocols and training materials.
Qualifications:
- Doctor of Pharmacy (PharmD) with at least 2 years of experience and licensed in the state of practice.
- Prior experience with prior authorizations, clinical pharmacy, and managed care is preferred.
- Knowledge of PBM, formulary management, and 340B is a plus.
Why Work for Us?
We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- Doctor of Pharmacy (PharmD)
- Licensed pharmacist in state of practice
- At least 2 years of experience
- Prior authorizations experience
- Clinical pharmacy experience
- Managed care experience
- Knowledge of PBM
- Formulary management knowledge
- 340B knowledge
What We Do
Curant Health is an enhanced specialty pharmacy and outcomes-based patient support organization headquartered in the Atlanta area. At Curant Health, we focus on transforming the patient journey and providing consistent, improved outcomes through our unique, high-touch approach. Our transformational processes and programs provide chronic disease expertise and support to improve both the therapy experience and the quality of life for our patients. We improve patient health outcomes through our pharmacist-managed medication management program, and we provide comprehensive therapeutic monitoring and medication packaging designed to fit each patient's lifestyle. At Curant Health, our medication management approach brings the patient journey full circle through strong collaboration between the patient, healthcare providers and medication management experts. Visit us at www.curanthealth.com Twitter @curanthealth
