Job Description
Title: Clinical Pharmacist 1
Location: Remote
Duration: 6 Months with potential to extend
10am – 6:30pm 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 initiate 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.
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
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: $58.00/hr.