Position Title: Clinical Pharmacist 1

Work Location: Remote

Assignment Duration: 6 months

Work Schedule: 10 am – 6:30 pm 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 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

• Current state’s Pharmacist license with no restrictions

Notes:

• A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determinations

Candidate Requirements

• Education/Certification: Required: Bachelors / PharmD

• Licensure: Required: Current state’s pharmacist license

 

 


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: $57.00/hr.