Prior Authorization Systems Pharmacist

What this role involves

The role involves designing and configuring prior authorization criteria in a pharmacy benefit management system, ensuring quality assurance and regulatory compliance. Responsibilities include building decision trees, collaborating with clients and vendors, and managing letter templates.

Skills this posting asks for

• clinical criteria configuration
• decision tree design
• quality assurance
• quality control
• regulatory compliance
• prior authorization systems
• vendor management
• pharmacy benefit management
• member communications
• provider communications

From the employer’s posting

About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Un…