California Licensed Clinical Pharmacist

Job Summary

A company is looking for a Clinical Pharmacist Utilization Management.

Key Responsibilities

• Perform Part B and Part D coverage determinations and appeals in accordance with CMS regulations
• Conduct clinical drug utilization reviews and manage pharmacy quality programs impacting CMS Star Ratings
• Provide medication therapy management services and support CMS audits and regulatory reporting

Required Qualifications

• Pharm.D. or RPh from an accredited School of Pharmacy
• Active, unrestricted pharmacist license in California
• Medicare Advantage Part B and Part D utilization management experience preferred
• Experience managing pharmacy quality programs
• Experience with medication therapy management services