Pharmacist, Consultant

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.