Clinical Pharmacist 1

Title: Clinical Pharmacist 1

Location: Remote

Duration: 6 Months with potential to extend

10am - 6:30pm 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 initiate 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.