Prior Authorization Pharmacist
Optum
Nov 2023 - Feb 2024 (4 months)
• Oversaw all clinical functions integral to the prior authorization process, evaluating cases to approve or deny medications for members, considering clinical guidelines, patient health status, and formulary reviews to ensure appropriate medication access.
• Facilitated thorough record-keeping by maintaining meticulous documentation of all case activity, communications, and correspondence within the computer system, providing a comprehensive audit trail for transparency and accountability.
• Fostered effective communication channels with prescribers, proactively seeking clarification or additional information essential for completing the clinical content of prior authorizations, streamlining the process, and minimizing delays in