Clinical Pharmacist

Position Purpose:

Define and develop standard and custom formularies for assigned plan.

• Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clients
• Monitor and review prior authorization requests for medications
• Develop and design clinical edits to adjudicate claims and enhance drug utilization
• Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
• Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
• Participate in the development and implementation of medication therapy management programs
• Provide clinical guidance and support to various departments and address clinical related questions

Our Comprehensive Benefits Package:

• Flexible work solutions including remote options, hybrid work schedules and dress flexibility
• Competitive pay
• Paid Time Off including paid holidays
• Health insurance coverage for you and dependents
• 401(k) and stock purchase plans
• Tuition reimbursement and best-in-class training and development

Education/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.

Licenses/Certifications: Current state's Pharmacist license with no restrictions.