Prior Authorization Clinical Pharmacist
Jobtailor
Responsibilities Evaluating and managing the selection and utilization of pharmaceuticals Supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug Information Services (DIS), and formulary management Researches and synthesizes detailed clinical data related to pharmaceuticals Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee May review and approve or deny coverage for pharmaceuticals based on medical necessity criteria Coordinates with internal stakeholders or health plan medical directors as needed Serves as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs Provides clinical guidance for therapeutic interventions, dosage conversions, and evidence-based medication use Requirements Requires BA/BS in Pharmacy Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience Requires a registered pharmacist Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh) Current PR health certificate and a current PR Law 300 certificate are required for this position #J-18808-Ljbffr
Vacancy posted 3 days ago
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