Medical Director Associate overseeing pharmacy prior authorization reviews for CarelonRx. Provides clinical guidance and supports timely responses to members and providers.
Responsibilities
May provide clinical guidance for pharmacy prior authorizations
Supports clinicians to ensure timely and consistent responses to members and providers
Conducts peer-to-peer prior authorization reviews for medications
Participate in a physician on-call weekend rotation for a 24x7 unit
Requirements
Requires MD or DO and Board certification approved by one of the following certifying boards is required
Must possess an active unrestricted medical license to practice medicine or a health profession
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