Licensed Clinical Pharmacist

Job Summary

To support pharmacy benefit management initiatives, the remote Licensed Clinical Pharmacist will develop clinical prior authorization criteria, collaborate on Preferred Drug List strategies, and provide consultation on pharmacy-related matters while ensuring operational efficiency.

Key responsibilities

• Conduct evidence-based evaluations for Therapeutic Class Review (TCR) development and maintain TCRs for Preferred Drug List management
• Develop clinical prior authorization recommendations and supporting documentation for presentation to the P&T Committee and DUR Board
• Support client accounts during implementation and ongoing operations, serving as a subject matter expert for pharmacy product development

Required qualifications

• Doctor of Pharmacy (PharmD) degree required
• Active Pharmacist license is required
• Minimum of 5 years of experience in pharmacy benefit management
• Minimum of 3 years of experience supporting a Medicaid PBM account
• Demonstrated knowledge of Medicaid requirements at the state and federal levels