Clinical Pharmacist 1

Position Title: Clinical Pharmacist 1

Work Location: Remote

Assignment Duration: 6 Months potential to extend

Work Schedule : 10 am - 6:30 pm EST, OT possible

Position Summary:

Define and develop standard and custom formularies for assigned plan.

Background & Context: This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.

Key Responsibilities:

• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• Monitor prior authorization requests
• Provide clinical support to internal departments and address clinical related questions
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare
• Develop, implement, and maintain policies and procedures for the pharmacy department
• Participate in the coordination of the Medicare MTM program
• Assist the case management team with members including clinical rounds presentations
• A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determiantions

Qualification & Experience:

Candidate Requirements

Education/Certification
Required: Bachelors / PharmD
Preferred:

Licensure
Required: Current states pharmacist license
Preferred:

Years of experience required: 1 to 3 years experience

Disqualifiers: None

Additional qualities to look for: Flexibility to work a weekend rotation

• Top 3 must-have hard skills stack-ranked by importance

1
Clinical decision making

2
Ability to learn new skills quickly

3
Adaptability

Position is offered by a no fee agency.