Position Title: Clinical Pharmacist 1
Work Location: Remote/ Eastern and Central time zone (Indiana License Highly preffered) 

Assignment Duration: 4 months

Work Schedule: 8 – 5 pm (no OT requirements)

Work Arrangement: Remote

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.

Licenses/Certifications:

• Current state’s Pharmacist license with no restrictions.

Background & Context (Story Behind the Need):

• Clinical pharmacist supporting outreach to providers and pharmacies to drive pharmacy gap closure for quality programs.

• Pharmacist will also assist with pharmacy appeal reviews.

• Individual work-assigned specific tasks to complete each day. Surrounding team members that will be able to help support if needed.

Background & Context (Typical Day in the Role):

• Performance expectations/metrics include completing targeted outreach; completed medication appeal reviews timely.

• Specific metrics will vary depending on the coverage.

Candidate Requirements:

• Education/Certification: Required: bachelor or doctor of pharmacy degree. Preferred:

• Licensure: Required: Pharmacist license. Preferred: highly prefer Indiana license -to help appeals with local Indiana pharmacy team.

• Years of experience required: 2+ years of experience and 1+ year of residency.

• Disqualifiers: too much job hopping, short term roles.

• Additional qualities to look for: multi-tasking and ability to manage multiple given assignments throughout each day.

Candidate Requirements (Top 3 must-have hard skills stack-ranked by importance):

1. Strong written and oral communication skills

2. Strong prioritization skills

3. Shows initiative

Candidate Review & Selection:

• Projected Manager Candidate Review Date: 1-2 days post shortlisting

• Type of Interviews: Teams-camera on

• Required Testing or Assessment (by Vendor): NA

IMPORTANT COMPLIANCE NOTES FOR SUPPLIERS:

• Sub-contracting is not permitted.

• Contacting a hiring leader directly about a requisition or hiring need is not permitted.

• The terms of the Staffing Services Agreement with Centene govern all assignments through the Centene Flex Workforce Solutions Program. Posting Centene’s (or its subsidiaries’) names, logos, or branding on public-facing sites is strictly prohibited.

• All contractors must sign a Temporary Worker Acknowledgement which must then be uploaded into Beeline by the vendor during the background check acceptance.

 
 
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.