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