Medical Director Associate overseeing pharmacy benefit management operations in CarelonRx. Conducting prior authorization reviews and guiding clinicians for compliance with regulations.
Responsibilities
Provide clinical guidance for pharmacy prior authorizations
Support clinicians for timely responses to members and providers
Conduct peer-to-peer prior authorization reviews
Participate in physician on-call weekend rotation for a 24x7 unit
Requirements
Requires MD or DO and Board certification approved by ABMS or AOA
Active unrestricted medical license to practice medicine
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