Job Description

Adecco Medical & Science is hiring Appeals Pharmacists! This role is work from home / remote. Please read below and apply with an updated resume for consideration.

Type: Twelve-month contract, possibility for extension or fulltime offer

Schedule: Monday through Friday, 8am to 5pm local time
Pay: $71.00 to $72.66 an hour

Responsibilities of the Pharmacist:

·         Evaluate prescriptions and patient histories

·         Interpret physicians' prescriptions and clinical documentation, accesses clinical criteria and compendia support

·         Consult with customers, patients and/or physicians regarding use of medications, potential drug interactions, and clinical status for appeals requests

·         Conduct Quality Assurance and verify the accuracy of all prescriptions to render appeal decision

·         Provide explanations and interpretations within area of expertise

·         Review formulary and utilization management guidelines to determine if the drug should be a covered benefit for the beneficiary based on their medical history

·         Research, evaluate, and make determinations on member and provider appeals of pharmacy coverage decisions

·         Gather complex clinical information, consider approved compendia, medical literature, coverage policy, and criteria information and work within regulatory guidelines to render decisions.

·         Decision may require consulting with Plan Medical Directors and the beneficiaries treating physician.

·         Answer questions from support personnel regarding prescription drugs

·         Position requires excellent record keeping skills, thorough documentation, clear and concise written/verbal communications skills.

Qualifications of the Pharmacist:

·         BS in Pharmacy or Pharm D degree

·         Active and unrestricted Pharmacist license in state of residence

·         2+ years of experience as a Pharmacist

·       Experience in Medicaid, Commercial (private), and/or Medicare Part D prescription drug plans, programs, or formularies preferred

·         Experience in Coverage Determinations (prior authorization) or member appeals preferred

Why work for Adecco?
Weekly Pay on Friday
401(k) Plan
Skills Training
Excellent medical, dental, and vision benefits

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs.  Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

IMPORTANT: This Pharmacist job is being recruited for by Adecco’s Medical and Science division, not your local Adecco Branch Office.

For opportunities available at Adecco Medical and Science go to

Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit . The Company will consider qualified applicants with arrest and conviction record.

Pay Details: $71.00 to $72.66 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.

Job Tags

Hourly pay, Weekly pay, Holiday work, Full time, Contract work, Temporary work, For contractors, Local area, Work from home, Monday to Friday,

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