Clinical Pharmacist 1

Position Title: Clinical Pharmacist 1

Work Location: Remote

Assignment Duration: 7 months (Possibility to extend)

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

Background & Context:

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

Position Summary:

Define and develop standard and custom formularies for assigned plan.

Key Responsibilities:

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  Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated

  
  
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  Monitor prior authorization requests

  
  
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  Provide clinical support to internal departments and address clinical related questions

  
  
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  Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice

  
  
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  Develop and implement programs designed to impact DUR for both Medicaid and Medicare

  
  
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  Develop, implement, and maintain policies and procedures for the pharmacy department

  
  
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  Participate in the coordination of the Medicare MTM program

  
  
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  Assist case management team with members including clinical rounds presentations

  
  

Qualification & Experience:

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  Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy

  
  
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  2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience

  
  
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  Current state's Pharmacist license with no restrictions