Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated. Provide clinical support to internal departments and address clinical-related questions.
Numbers & Facts
Location
Tampa, FL (Remote)
Salary
$66.40 Per Hour
Description
Work Mode: 100% Remote - Open to any time zone EXCEPT PST Shift: 9 AM – 6 PM local time, no OT requirements Duration: 3 months
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 initiate 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
Requirements:
Education/Certification: Required: B.S. in Pharmacy or PharmD
Licensure: Required: Must be licensed in state of residence