Pharmacist, Consultant
Blue Shield of CA
Your Role
The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager.
Your Knowledge and Experience
Requires a Doctor of Pharmacy (PharmD) degree
Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
Requires at least 2 years of experience in clinical pharmacy
Previous experience working at a health plan is preferred
Prior authorization experience is preferred
Excellent oral and written communication skills
Thorough knowledge of therapeutic use of medications
Hybrid Virtual Work
This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business needs.
Vacancy posted 22 hours ago
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