Certified Pharmacist

EOR: One Workforce Global Employment Type: Full-Time Employment Work Setup: 100% Onsite (Office location in either Eastwood, Clark or Muntinlupa) Work Schedule: Night Shift (Following U.S. Central Time Zone) Duties and Responsibilities Intake and triage PA requests from providers, pharmacy, and patients; confirm eligibility and benefits. Gather required clinical information (diagnosis, labs, previous therapies, step-therapy/QL/ST documentation). Prepare and submit PA requests via PBM/payer portals, eFax, or phone (e.g., CoverMyMeds, NaviNet, payer sites). Track cases to decision; proactively follow up on pending requests and expiring authorizations. Document all activities and outcomes in the EHR/pharmacy system and workflow tracker; maintain queue SLAs. Communicate decisions to patients and prescribers; coordinate next steps with dispensing/specialty pharmacy. For denials, collect missing info and prepare first-level appeals or redeterminations per policy. Maintain current knowledge of plan formularies, UM criteria, Medicare Part D, Medicaid, and commercial payer rules. Protect PHI and follow HIPAA, company policies, and quality standards Job Requirements Active RPH License is preferred . Prior Authorization experience for at least 4 years is required . Experience working in the pharmacy setting is a must . Versed in NextGen and Prior Authorization software (ex. CoverMyMeds) is a plus . Detail-oriented with strong organizational skills Ability to follow SOPs and meet deadlines Excellent verbal and written communication skills Excellent interpersonal and customer service skills Excellent organizational skills and attention to detail Excellent time management skills with a proven ability to meet deadlines Strong analytical and problem-solving skills Ability to prioritize tasks Ability to function well in a high-paced and at times stressful environment WHY INTELASSIST? We grow together. We value your effort. We aim to empower you. #J-18808-Ljbffr