Clinical - Clinical Pharmacist 1

Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 6 Months with a possibility of extension Work Schedule: 10 am – 6:30 pm EST, OT possible Work Arrangement: Remote Position Summary: Position Purpose: 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: 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

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