Clinical Pharmacist – Managed Care
Location: Portland, OR 97213 (Remote)
Duration: 26 Weeks
Shift: Day Shift
Hours: 8:00 AM – 5:00 PM | Monday–Friday | 40 Hours Per Week
We are seeking a highly skilled Clinical Pharmacist to support managed care pharmacy services in a remote setting. The ideal candidate will have strong experience in medication therapy management, prior authorization review, utilization management, formulary support, and evidence-based clinical decision-making.
Requirements:
Doctor of Pharmacy (PharmD) required.
Active Pharmacist License in Oregon, Washington, or California required.
Completion of PGY-1 Residency required.
Minimum 3 years of managed care pharmacy experience required.
Experience with prior authorization reviews, appeals, and utilization management.
Strong knowledge of clinical pharmacology, therapeutics, and evidence-based medicine.
Experience with pharmacy claims systems and data analysis tools.
Strong communication, analytical, and problem-solving skills.
Ability to work independently in a fast-paced remote environment.
Responsibilities:
Provide Medication Therapy Management (MTM) services and identify medication-related issues.
Review pharmacy and medical claims for clinical appropriateness and safety.
Conduct prior authorization reviews, drug utilization reviews (DUR), and appeals.
Develop patient-specific medication action plans to improve outcomes.
Collaborate with physicians, nurses, case managers, and healthcare teams.
Participate in Pharmacy & Therapeutics (P&T) Committee activities and policy development.
Support population health and disease management initiatives.
Monitor and evaluate clinical outcomes of pharmacy interventions.
Provide evidence-based drug information and recommendations.
Assist with formulary management, medication policies, and utilization programs.
Participate in quality improvement and regulatory compliance initiatives.
Educate providers, staff, and members on medication-related topics.
Support managed care operations and pharmacy program initiatives.
For more details contact at hdavda@navitashealth.com
About Navitas Healthcare, LLC:
About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.