Licensed Clinical Pharmacy Specialist

Job Summary

A company is looking for a Clinical Pharmacy Specialist to support pharmacy services across various lines of business.

Key Responsibilities

• Perform utilization management including prior authorization for medical and pharmacy benefits
• Assist in maintaining the formulary and processing formulary change requests
• Handle intake, investigation, and resolution of prescription-related grievances

Required Qualifications, Training, and Education

• Minimum A.A. degree
• Active Pharmacy Technician License required
• At least three years of experience in a health plan or PBM performing prior authorization for drugs
• Basic knowledge of medical terminology and current diagnostic and reimbursement coding
• Proficiency in pharmacy computerized systems and MS Office Product Suite