Clinical Pharmacist 1

Position Title: Clinical Pharmacist 1

Work Location: Remote

Assignment Duration: 7 Months with a possibility to extend

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

Work Arrangement: Remote

Position Summary:

Position Purpose: 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 case management team with members including clinical rounds presentations

Qualification & Experience:

• Education/Experience: Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.
• Licenses/Certifications: Current state's Pharmacist license with no restrictions.
• Required: Bachelors / PharmD
• Licensure: Required: Current states pharmacist license
• Years of experience required: 1 to 3 years experience