Location: 100% Remote any time zone EXCEPT PST
SHIFT: 9 AM 6 PM local time (EXCEPT PST), no OT requirements
Duration: 3 months contract
Description: Job Profile Summary
Responsibilities
- Pharmacist will be expected to review a patient s medical information and pharmacy claims for gaps in care, drug therapy problems, etc. Expectation is 90% productivity daily
" 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,
Job purpose: We provide medication reviews for members that have qualified for one of our pharmacy clinical programs. Currently we have a clinical program expanding and need additional support temporarily. No further hiring needs.
| Candidate Requirements |
| Required: B.S. in Pharmacy or PharmD | Preferred: | |
| Required: required to be licensed in state of residence | Preferred: | |
Years of experience required: at least 2 years MTM experience
Disqualifiers: Not having MTM experience
Additional qualities to look for:NA |
- Top 3 must-have hard skills stack-ranked by importance
| 1 | Work independently |
| 2 | Critical thinking |
| 3 | Clinical skill |