Clinical Pharmacist
Oncohealth CORP
Clinical Pharmacist
OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.
The Clinical Pharmacist is responsible for facilitating the case review process for prior authorizations, building/maintaining protocols, and providing recommendations on coverage determination. This position requires the ability to analyze evidence-based medicine resources, as well as those for coverage determination, to evaluate whether therapy requested for prior authorization is supported for coverage and is best suited for the given situation. It will also support the operations of new products and services. This is a remote opportunity with a designated work schedule of 12:30 PM - 8:30 PM Eastern Standard Time (EST).
Primary Responsibilities:
- Case review and serve as initial clinical reviewer or provide secondary input for authorization process
- Synthesize treatment opinions supported by evidence-based medicine
- Maintain accurate records of all interventions and communications and provide timely verbal/written assessments on each case reviewed
- Department project participation as determined by the department's needs. Projects may include activities such as:
- Training for new hires, students, or other departments
- Aid in drug-related projects such as clinical information updates, position papers, drug strategies, and/or process improvements
- Act as a resource for other clinicians
About You:
- Doctorate in Pharmacy (PharmD) or relevant experience required
- Current unrestricted licensure recognized in the United States
- Minimum of 2 years of experience in the clinical oncology setting, managed care, or relevant educational attainment required
- Must be proficient in evaluating oncology drug treatment decision by interpreting primary scientific literature and recommending alternative therapy where appropriate
- Systems/Tools: MS Office Suite proficient
OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide. The schedule we are hiring for is 12:30 PM - 8:30PM EST.
Our Culture:
Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first! We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.
The Opportunity:
The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!
Our Current Solutions:
Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment. OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape. OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.
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