Licensed Clinical Pharmacist

Job Summary

To support clinical programs and drug utilization reviews, the full-time Licensed Clinical Pharmacist will perform prior authorizations, interface with healthcare providers, and assist customer care with clinical inquiries in a remote setting.

Key responsibilities

• Manage and provide input for clinical programs, including Health Management and Drug Utilization Review, to enhance drug therapy quality and efficiency
• Review and determine coverage for prior authorization requests, ensuring compliance with established criteria
• Monitor and improve the Coverage Determination process, including communication with prescribers and maintaining program standards

Required qualifications

• Bachelor's degree in Pharmacy or Pharm D with current, unrestricted licensure as a Registered Pharmacist
• Two years of experience in a clinical setting or completion of a clinical pharmacy residency preferred
• Knowledge of pharmacy benefit management (PBM) and formulary management principles
• Exceptional clinical skills and sound clinical judgment in diverse situations
• Proficiency in electronic databases and MS Office applications preferred