Clinical Pharmacist

Clinical Pharmacist

MedOne Pharmacy Benefit Solutions

1 Positions

ID: 96429

Posted On 10/05/2026

Job Overview

Position Overview:

The Clinical Pharmacist is a clinically skilled, detail-oriented pharmacist to support prior authorization reviews, consult with providers, evaluate drug literature, and collaborate across teams to ensure high-quality, guideline-based coverage determinations. The Clinical Pharmacist will play a key role in optimizing medication therapy and improving patient outcomes within a Pharmacy Benefit Management (PBM) environment.

About MedOne:

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You Will Do at MedOne:

Support operations of MedOne Clinical Services Business Unit with responsibilities supporting the clinical review, clinical programs, and clinical account management departments

Evaluate, review and interpret clinical guideline criteria and appropriately utilize clinical knowledge and resources when rendering coverage determinations (approvals, part approvals, denials)

Perform and completes outbound clinical consult calls with physicians, healthcare providers and/or patients to as requested to answer inquiries regarding determinations

Perform scientific literature evaluation using primary, secondary, and tertiary drug resources to support decision-making and recommendations that are outside clinical guideline criteria

Provide detailed and thorough documentation in prior authorization cases, appeals cases, and overrides

Make clinical prior authorization determinations in accordance with medical necessity and covered benefit guidelines within established turnaround times

Maintain quality and productivity standards for all cases reviewed while meeting established turnaround time requirements

Provide mentorship to the Clinical Review Technician team as required

Support Medication Therapy Management (MTM) and adherence programs

Contribute to disease management initiatives and population health strategies

Assist Clinical Account Managers in delivering clinical solutions to clients

Respond to client inquiries regarding clinical programs and benefit design

Assist in preparing presentations for client meetings and quarterly business reviews

Assist Member Advocate and Account Management teams with patient or provider requests requiring pharmacist intervention

Works to promote a team environment

Support the operation and maintenance of existing MedOne Clinical Services

Assists and supports members of MedOne Pharmacy Benefit Solutions

Portrays the company in a positive image

Required to abide by all rules, regulations and policies of the employer

Other duties as assigned

What you will bring to MedOne:

Proficient in Microsoft Office Suite and experience using clinical resources (Micromedex, Lexicomp, Clinical Pharmacology)

Ability to translate clinical information into a manner appropriate for both clinical and non-clinical audiences

High degree of emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution

Detail-oriented with a high degree of accuracy

Strong interpersonal, written, and verbal communication skills

Ability to work independently and manage time effectively

Excellent customer service and teamwork skills

Must have a designated workplace (an office, spare bedroom, etc.) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations (for remote employees)

Familiarity with data entry software or CRM systems (Microsoft Dynamics) is a plus

Must be able to type at a minimum of 30 words per minute

Must be able to work independently, meets deadlines, establish priorities, and be flexible

Must be able to stand/sit for long periods of time within limited space

Must be able to lift up to 25 pounds

Must be able to work cooperatively with MedOne staff

Why Join MedOne?

Competitive salary and bonuses that reward your performance

Comprehensive health, dental, and vision insurance

401(k) with company match to secure your future

Generous paid time off and holidays

Opportunities for professional growth and development

A vibrant and collaborative work culture

Location: We have offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States

Employment Type: Full-Time, Hourly/Exempt

Hours: Hours may vary within our normal business hours

How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.

Primary Contact

1659977850123

Jolene Kohlenberg

HR Manager,

View phone number on click.appcast.io

Phone

Phone

Phone

Fax

View email address on click.appcast.io

Email

True

True

True

Job Details

Location

Dubuque, IA

Job Type

Employee

Full/Part

Full Time

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

Paid Vacation

PTO (Paid Time Off)

Paid Holidays

Company ID

1152

Job REQ #

# Positions

1

Start Date

20261005

End Date

20261023

Featured Job

0

TH Ad

0

TH Comments

Similar Jobs

ER RN-Emergency Room Registered Nurse

MercyOne

Career Pathway Certificate: CDL Semi Truck Drivin

Northeast Iowa Community College

Clinical Preceptor

UnityPoint Health Finley Hospital

Dental Assistant

Crescent Community Health Center

Facilities Admin Assistant-Full time-Dubuque

MercyOne

Supervisor Environmental Services FT Evenings

MercyOne

Controller

Specialized Recruiting Group

Design Engineer

Rite Hite Corp

Career Pathway Certificate: CDL Semi Truck Drivin

Northeast Iowa Community College

Dental Hygienist

Crescent Community Health Center

CNA Medical Unit

MercyOne

Career Pathway Certificate: Computer Numerical Con

Northeast Iowa Community College

Career Pathway Certificate: CDL Semi Truck Drivin

Northeast Iowa Community College

Medical Assistant – Certified OR Non-certified

Crescent Community Health Center

Information Technology Analyst

BARD Materials

Housekeeper/EVS Dubuque FT Evenings

MercyOne

Maintenance Tech, Full-Time, 1st Shift, Tuesday-Sa

Stonehill Communities

Career Pathway Certificate – Core Manufacturing

Northeast Iowa Community College

Assistant General Manager - Dairy Queen

Dairy Queen

Carpenter

UnityPoint Health Finley Hospital

Share this Job

MedOne Pharmacy Benefit Solutions

About the Company

Company Information

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. MedOne's corporate office is located in Dubuque, IA.

Why Join the MedOne Movement?

To help people conveniently access the most appropriate prescription treatment at the most affordable price.

Our Core Values:

1. Prioritize your well-being

2. Act as a MedOne team

3. Care for Members with Compassion

4. Strive to exceed client expectations

5. Do the right things for the right reasons

6. Bring your best

7. Challenge the status quo

Benefits:

• Competitive Salary

• Medical, Dental, Vision, Disability and Life Insurance for full-time employees

• Matching 401K Plan

• Paid Time Off

• Paid Holidays and Birthdays

• Gym Reimbursement

• Tuition Reimbursement

• Career Growth Opportunities

MedOne is an equal opportunity employer.

Job Offers are contingent on passing a background check and drug screen.