Clinical Pharmacist 1

Position Title: Clinical Pharmacist

Work Location: Remote

Assignment Duration: 3 months

Work Arrangement: Remote

Position Summary:

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.

Background & Context:

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

Key Responsibilities:

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  Ensure appropriate quality controls and initiate 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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  Education/Certification: Required - Bachelors / PharmD

  
  
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  Licensure: Required - Current state pharmacist license

  
  
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  Years of experience required: 1 to 3 years experience

  
  
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  Additional qualities: Flexibility to work a weekend rotation

  
  
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  Top 3 must-have hard skills:

  
  
  
  
  1. 
     

     Clinical decision making

     
     
  2. 
     

     Ability to learn new skills quickly

     
     
  3. 
     

     Adaptability

     
     
  
  
  
  

Working Conditions & Physical Demands (If Applicable):

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  None explicitly stated.

  
  

Additional Information (If Applicable):

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  None explicitly stated.

  
  
  
  
  
  
  

  Candidate Requirements
  Education/Certification	Required: Pharm D.	Preferred: n/a
  Licensure	Required: Any US state	Preferred: n/a
  Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: At least one year of professional RPh experience Nice to haves: Some experience working in managed care, understanding of Medicare/Medicaid law Disqualifiers: n/a Performance indicators: * Sign 85 - 100 cases daily
  Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Self-Motivated/Good Time Management Skills
  2	Working Knowledge of Office Suite
  3	Goal Oriented