Clinical Pharmacist 1

Position Title: Clinical Pharmacist 1
Work Location: Remote
Assignment Duration: 6 months
Work Schedule: 10 am – 6:30 pm EST, OT possible

Position Summary:
• 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:
• 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

 

Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique?		A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determiantions
Candidate Requirements
Education/Certification	Required: Bachelors / PharmD		Preferred:
Licensure	Required: Current states pharmacist license		Preferred:

 

 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $57.00/hr.