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Clinical Pharmacist

Pyramid Consulting, Inc.

Clinical PharmacistImmediate need for a talented Clinical Pharmacist. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote).Key Responsibilities:Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteriaReport utilization review statistics to corporate compliance committeesSummarize daily utilization review data and track compliance of review casesProvide clinical guidance and support to assigned pharmacy techniciansUtilize knowledge of drug coding (NDC, GCN, GPI, and NCPDP claims adjudication systems)Review guideline criteria for prior authorization and non-formulary drugs to support Pharmacy and Therapeutics Committee functionsEnsure quality controls and identify opportunities for performance improvement in pharmacy practicesResearch drug information to maintain drug knowledge and disease state understanding for prior authorization reviewsKey Requirements and Technology Experience:3+ years of experience in a related fieldBachelor's degree or advanced degreeCurrent state pharmacy licenseOur client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Vacancy posted 2 days ago
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