Clinical Pharmacist - Commercial Appeals

Job Summary

A company is looking for a Clinical Pharmacist for Commercial Appeals.

Key Responsibilities:

• Evaluate and review Appeals requests, render coverage determinations, and communicate decisions promptly
• Collaborate with team members to process referrals and handle inbound/outbound calls
• Maintain professional knowledge of drug and disease states for Specialty and Non-Specialty Pharmacy programs

Required Qualifications:

• 2+ years' experience as a clinical pharmacist in a PBM setting
• Current experience working within the Commercial Appeals team
• Experience using clinical resources like Micromedex, Lexicomp, Clinical Pharmacology
• Active pharmacist license in good standing in the state of residence
• Bachelor's of Science in Pharmacy or Pharm.D