Clinical Pharmacist- Remote Jobs

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Job Posting Title
Clinical Pharmacist- REMOTE
Summary
Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding the use of pharmaceutical treatment regimens. Complies with all corporate and facility standard operating procedures, policies, guidelines, and work instructions.

• Summary

Responsible for supporting the development of Medical Pharmacy program strategy as a part of the Medical Pharmacy team. As a member of the clinical strategy team, the Clinical Pharmacist is responsible for various projects to support assigned clients including but not limited to, clinical research, data analysis, content development and resource maintenance in support of health plan clients. The Clinical Pharmacist will be an integral part of the client account team and work closely with SCSL, AE/AM and BD leads.
Hiring Requirements

• Requires a functional level understanding of the pharmacy industry including health plan/PBM relationship and drugs paid for on the medical vs. pharmacy benefit.
• Support the Medical Pharmacy team in developing and producing pipeline, forecasting, trend, strategy, and Medical Pharmacy program specific materials for health plan clients.
• Data review and interpretation skills required.
• Support the Medical Pharmacy team in managing supportive resources for all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service, and any additional programs.
• Work with analytics team to provide business rules and develop new drug to market cost impact analyses for health plan clients.
• Evaluate and identify opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiatives.
• Other Requirements
• Support the development and production of Medical Pharmacy Trend Report.
• Actively work to support preparation and delivery of reporting and quarterly meeting materials.
• Managed Care Pharmacy Residency experience preferred.
• At least 1-3 years of pharmacy, managed care and/or pharmaceutical industry experience
• Strong interpersonal, consultation, organizational, tracking and follow-up skills.
• Excellent verbal and written communication skills.
• Communicate and collaborate effectively with all internal stakeholders.
• Support the development, production, and monitoring of Specialty Pharmacy Pipeline Report.
• Work internally to support client requests and issue resolution as part of the account team
• Must possess RPh or PharmD license in good standing.

Responsibilities
Strong drug product and clinical pharmacy knowledge.License must be current and in good standing.
Work Experience
Work Experience - Required
Pharmacy
Work Experience - Preferred
Education
Education - Required
Bachelors - Pharmacy
Education - Preferred
PharmD - Pharmacy
Certifications
Certifications - Required
RPH - Registered Pharmacist - Pharmacy - Pharmacy
Certifications - Preferred
PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy - Pharmacy
Potential pay for this position ranges from $95,840.00 - $162,920.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.