Clinical Pharmacist - Utilization Management Archimedes

Overview Archimedes is a specialty drug management company providing advanced tools to help health plans and employer groups manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company. This role will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications across pharmacy and medical benefits and specialty and traditional drugs. The role also offers the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies. The Clinical Pharmacist is the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This individual will successfully communicate with physicians, nurses, pharmacists, and members regarding high-cost case concerns, dose management, genetic testing, therapeutic substitutions and cost management related to specialty drugs. Clinical subject matter expert is required to conduct peer‑to‑peer consultations with physicians. Position can be located in Brentwood, TN or St. Louis, MO offices. Remote employment also considered. Responsibilities Develop and deliver clinical messages to physicians, members, clients, and consultants Manage prior authorization, high‑cost cases, claims editing and clinical policy development Clinical program development including both medical and pharmacy benefit management Define, document, and deliver results for plan sponsors Evaluate and summarize clinical literature as well as financial implications related to medication management options Present deep clinical and cost‑effectiveness information as a peer‑to‑peer consult Qualifications Doctor of Pharmacy (PharmD) Current pharmacist license (RPh) in good standing with a State Board of Pharmacy Board of Pharmacy Certification, preferred for Pharmacotherapy, Ambulatory Care or Oncology Care 3 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency preferred Pharmacy and Medical specialty benefit knowledge and experience Independent, proactive, forward‑thinking, creative problem solver, results‑oriented Ability to work well in a team environment Strong verbal/written communication skills Strong physician‑facing clinical communication skills Microsoft Excel, Power Point and Word proficiency Location Remote – City: Brentwood, TN or St. Louis, MO; remote employment also considered. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap. #J-18808-Ljbffr Navitus Health Solutions