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:
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:
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
Current state's Pharmacist license with no restrictions
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