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Clinical Pharmacist (Health Plans)

HealthCare Support

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Develop and conduct quality improvement programs related to the pharmacy program

Develop and implement clinical educational programs to improve drug utilization and quality

Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives

Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans

Provide medication therapy management (MTM) services

Monitor MTM objectives and high risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight

Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others.

Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit

Consult with clinicians and pharmacists to resolve pharmacy benefit issues

Qualifications Graduate of an accredited pharmacy program,

PharmD (Doctorate of Pharmacy)

Practical experience as a clinical pharmacist in pharmaceutical care management

Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization

4-5 years of experience with prior authorizations, medication therapy management and drug utilization review

Additional Information Are you an experienced Pharmacist looking for a new opportunity with a prestigious healthcare company?

Vacancy posted 4 days ago
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