Job Description
Position Title: Clinical Pharmacist 1
Work Location: Remote – PT zone
Assignment Duration: 03 Months
Work Schedule: Preferably 8-5 PT, no OT needed
Work Arrangement: Remote
Position Summary:
Position Purpose: Define and develop standard and custom formularies for assigned plan.
Background & Context:
This is a Quality Position to meet with provider groups and discuss Medicare Stars measures and internal program RxEffect. Small collaborative CPS health plan team. Other current staff members available to support and answer questions.
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
| Education/Certification | Required: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. | Preferred: | ||
| Licensure | Required: Current state’s Pharmacist license with no restrictions. | Preferred: | ||
| Years of experience required: 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. 2 years in Quality related role such as MTM Disqualifiers: unable to work in our time zone Additional qualities to look for: Clear communication skills | ||||
| 1 | Knowledge of Medicare Stars | ||
| 2 | Communication skills | |||
| 3 | Organization skills | |||
- 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.