Clinical Pharmacist DUR

Employer
A Line Staffing Solutions
Location
Commerce Park, Louisiana, US
Closing date
Oct 19, 2021

View more

Position Type
Clinical Pharmacist
Specialty Area
Other
Work Setting
Other
Top Health Plan / Managed Care company, is currently seeking a Clinical Pharmacist based out of the Baton Rouge LA 70809 office. Please apply directly to this posting for consideration.

** This position is WFH (REMOTE) until at least September**

Pay Rate: $50.00 to $55.00 per hour (determined on experience)

Shift Time: Monday - Friday from 8:30am-5pm EST

Job Duties:
  • Monitor and review prior authorization requests for medications
  • Review member's drug profile for drug utilization review process
  • Review and understand clinical criteria to be used for medication reviews
  • Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
  • Review member's drug profile to determine if member's meets criteria for State Lock-In Program
  • Provide clinical guidance and support to various departments and address clinical related questions.


Required Skills:
  • LA RPH license
  • PharmD's are always preferred
  • Prior Auth experience.

Preferred Skills:
  • Experience in a Managed Care Pharmacy Setting
  • Experience with CVS/Health PBM Systems: RxClaim, CAS, MedHOK
  • Be familiar with Centers for Medicare and Medicaid (CMS) regulations and guidelines
  • Tru Care Experience
  • Medication Therapy Management MTM/CMR experience (preferred not required)


Why Apply:
  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • 401k after 1 year of employment: With employer match and profit sharing
  • GREAT Hours! Monday through Friday
  • Competitive Pay Rate!


Keywords: RPh, PBM, Pharmacy Benefit Management, RxClaim, CAS, MedHOK, CMR, Clinical Research, Clinical Pharmacy, Dispensing, Compounding, Registered Pharmacist, DUR, Drug Utilization Review, Infusion, MTM, Medication Therapy Management, BPharm, Licensed Pharmacist, PharmD, Prior Authorization, Pharmacy, Pharmaceutical, Mail Order Pharmacy, Prescriptions, Rx, Medication, Clinical Pharmacist, Staff Pharmacist.

Job Requirements:

Required Skills:
  • LA RPH license
  • PharmD's are always preferred
  • Prior Auth experience.

Preferred Skills:
  • Experience in a Managed Care Pharmacy Setting
  • Experience with CVS/Health PBM Systems: RxClaim, CAS, MedHOK
  • Be familiar with Centers for Medicare and Medicaid (CMS) regulations and guidelines
  • Tru Care Experience
  • Medication Therapy Management MTM/CMR experience (preferred not required)


Keywords: RPh, PBM, Pharmacy Benefit Management, RxClaim, CAS, MedHOK, CMR, Clinical Research, Clinical Pharmacy, Dispensing, Compounding, Registered Pharmacist, DUR, Drug Utilization Review, Infusion, MTM, Medication Therapy Management, BPharm, Licensed Pharmacist, PharmD, Prior Authorization, Pharmacy, Pharmaceutical, Mail Order Pharmacy, Prescriptions, Rx, Medication, Clinical Pharmacist, Staff Pharmacist.

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