Clinical Pharmacist 1

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:

  
  
  
  
  1. 
     

     Clinical decision making

     
     
  2. 
     

     Ability to learn new skills quickly

     
     
  3. 
     

     Adaptability

     
     
  
  
  
  

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: Bachelors / PharmD	Preferred:
  Licensure	Required: Current states pharmacist license	Preferred:
  Years of experience required: 1 to 3 years experience Disqualifiers: None Additional qualities to look for: Flexibility to work a weekend rotation
  Top 3 must-have hard skills stack-ranked by importance	1	Clinical decision making
  2	Ability to learn new skills quickly
  3	Adaptability