Pharmacist - Clinical Research Pharmacy

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Reviews physician inquiries for pharmacy, physician-administered, or home infusion pre-authorization and medical necessity requests based on established pharmacy guidelines and contract criteria. responds to inquiries, complaints, and reconsiderations. Documents call in inquiry tracking system. Supports Fraud and Abuse program system oversight. Communicates any suspected fraud discovered by the contact center staff. Recommends a course of action for providers where patterns appear outside of guidelines and generally accepted pharmacy standards.

Serves as second-line contact for all internal pharmacy related issues. Functions as a clinical liaison between internal staff and pharmacy network participants. Ensures internal changes that may affect network services are reflected in the claims processing system.

Conducts research necessary to maintain Prior Authorization Criteria, including therapeutic category and comparative drug review. Works with appropriate individuals/vendors to facilitate compliance. Responds to telephone inquiries from physicians, other healthcare professionals and members regarding select drug information.

Keeps abreast of industry trends and regulatory changes in the pharmacy industry and evaluates their effect on pharmacy contracts and services. Assures compliance with PerformRx policies and procedures regarding pharmacy protocol.

Participates in various Pharmacy-related projects. Performs appropriate research, analysis and generates findings report. May assist in the implementation and/or coordination of project changes.

Performs medication therapy reviews to identify medication related problems, performs interactive consultations and makes recommendations/interventions for members and providers, appropriately documents all pharmacotherapy interventions, responds to questions and provides clarification for requests generated in regards to MTM/DTM programs.

Has attended or attends MTM/DTM certificate training.

Complies with URAC/CMS standards and regulation for DTMP.

Performs other related duties and projects as assigned. Attends required training on an annual basis.

Current pharmacy license, Commonwealth of Pennsylvania preferred.

• 2 years pharmacy experience preferred.
• MTM/DTM certificate training preferred.

Life Science Recruiter

IT Life Sciences Allied Healthcare CRO

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