Job Description
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:
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Clinical decision making
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Ability to learn new skills quickly
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Adaptability
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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
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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: $ 60.00/hr.