[Hiring] Pharmacist Health Plan @Geisinger
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
Depending on assigned area of expertise, the pharmacist will perform a variety of duties, including:
ā¢ Performing extensive literature review for the development of criteria for management of the pharmacy benefit
ā¢ Administering the pharmacy benefit in conjunction with the Health Plan Pharmacy Customer Service team members
ā¢ Delivering continuous, high quality member care while maximizing member satisfaction and managing appropriate utilization
ā¢ Acting as a liaison between the Health Plan and its customers with respect to pharmaceutical benefits
ā¢ Serving as formulary expert for all lines of business and associated benefit designs
ā¢ Supporting internal operations in providing information to customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed
ā¢ Supporting prior authorization representatives in their duties related to medical necessity, formulary exceptions, and prior authorization reviews
ā¢ Performing medical necessity reviews for formulary exceptions and prior authorizations according to specified timelines
ā¢ Performing extensive literature review and developing clinical criteria for new and existing pharmaceuticals as part of a drug review function to be presented at the Pharmacy and Therapeutics Committee
ā¢ Working closely with clinical enterprise to coordinate the best, most cost effective drug selection policies, and protocols for targeted disease processes
ā¢ Suggesting improvements and changes to perpetually improve operations
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
Qualifications
ā¢ Bachelor's Degree in Pharmacy (Required)
ā¢ Bachelor's Degree (Preferred)
Requirements
ā¢ Licensed Pharmacist (Pennsylvania) within 90 days
Benefits
ā¢ Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners
ā¢ Encouragement of an atmosphere of collaboration, cooperation and collegiality
Apply Now
Apply Now
Role Description
Depending on assigned area of expertise, the pharmacist will perform a variety of duties, including:
ā¢ Performing extensive literature review for the development of criteria for management of the pharmacy benefit
ā¢ Administering the pharmacy benefit in conjunction with the Health Plan Pharmacy Customer Service team members
ā¢ Delivering continuous, high quality member care while maximizing member satisfaction and managing appropriate utilization
ā¢ Acting as a liaison between the Health Plan and its customers with respect to pharmaceutical benefits
ā¢ Serving as formulary expert for all lines of business and associated benefit designs
ā¢ Supporting internal operations in providing information to customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed
ā¢ Supporting prior authorization representatives in their duties related to medical necessity, formulary exceptions, and prior authorization reviews
ā¢ Performing medical necessity reviews for formulary exceptions and prior authorizations according to specified timelines
ā¢ Performing extensive literature review and developing clinical criteria for new and existing pharmaceuticals as part of a drug review function to be presented at the Pharmacy and Therapeutics Committee
ā¢ Working closely with clinical enterprise to coordinate the best, most cost effective drug selection policies, and protocols for targeted disease processes
ā¢ Suggesting improvements and changes to perpetually improve operations
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
Qualifications
ā¢ Bachelor's Degree in Pharmacy (Required)
ā¢ Bachelor's Degree (Preferred)
Requirements
ā¢ Licensed Pharmacist (Pennsylvania) within 90 days
Benefits
ā¢ Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners
ā¢ Encouragement of an atmosphere of collaboration, cooperation and collegiality
Apply Now
Apply Now