Pharmacist Jobs

Pharmacist

Location: Remote

Duration: 6 months

Description:

Position summary:

The clinical pharmacist is an operation-based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from Client Caremark supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.

Responsibilities

- Collaborates with the CRU Technician to process referrals, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. (20%)

- Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%)

- Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)

- Establishes and maintains communication among Client Caremark, health plan and employer group staff. (5%)

- Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. (5%)

- Performs other related projects and duties as assigned including on call and after-hours pharmacist availability could be required. (5%)

Knowledge of Access, Power Point, and Visio is preferable.

Must be computer literate knowledge of Excel and Word.

Licensed Registered Pharmacist

Minimum 3-5 years experience although 5-8 years is preferred.

Duties

- This individual must have excellent interpersonal skills.

- Will be responsible for: reviewing patient profile, drug interactions, sensitivities and drug usage database in relation to patient's prescription.

- Determines if prescription requires physician clarification or if it should be forwarded to therapeutic intervention or doctor phone calls for follow-up.

- Enters prescription into the computer.

- Assists in patient services as required, taking incoming prescription medication questions/concerns from patients.

- Assists in the doctor phone call area and/or therapeutic intervention as assigned and contacts physicians to resolve any questions or concerns. Maintains established procedures concerning quality assurance, security of controlled substances, and disposal of hazardous waste drugs.

- Works with other members of the pharmacy to ensure accuracy of prescriptions.

- Dispenses prescription medication and performs final dispensing quality check on all prescriptions for accuracy and dosage.

Experience

Previous pharmacy experience in retail or hospital preferred. Appropriate state license required. Experience in home infusion therapy is preferred. Basic computer skills required. Strong organizational skill, interpersonal skills and detail orientation important for this position. Minimum of one year's pharmacy experience in a retail or hospital setting preferred.

Position summary

This position is responsible for dispensing prescriptions and coordinating clinical services for specialty drugs serviced at the branch location. This position is responsible for interacting with the health care professionals in the provision and coordination of customer care. Must also translate prescriptions, perform compounds and dispense prescribed pharmaceuticals. Must be comfortable communicating by telephone or mail, with patients and physicians for patient care. Will also be responsible for resolving orders via the EA (External Adjudication) queue.

Education

High School Diploma or GED required. Bachelor's degree in pharmacy or Pharm D. also required with at least two years experience as a pharmacist. Must have an active license in good standing.

Qualification Rating

Must Have

Client Caremark Requirements

Prior Client/Healthcare work experience? No

• Verifyable High School Diploma or GED Required Yes