Clinical Pharmacist
Spectraforce
US
Remote
an hour ago
Job Description
Title: Clinical Pharmacist
Duration: 6 months
Location: North Carolina
Job Description:
- Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria.
- Report to utilization review statistics to corporate compliance committees.
- Review data and summarize daily utilization review numbers.
- Responsible for tracking compliance of review cases.
- Provide clinical guidance and support to the assigned pharmacy technicians.
- Knowledge of drug coding (NDC, GCN, GPI and USC) and NCPDP claims adjudication systems.
- Review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design.
- Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practices.
- Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews.
Hiring Requirements:
- Bachelor's degree or advanced degree.
- 3+ years of experience in related field.
- Current states pharmacy license.
Applicant Notices & Disclaimers
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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: $ 61.80/hr.