Medical Director, Pharmacy

Job Summary

A company is looking for a Medical Director, Pharmacy - Remote.

Key Responsibilities

• Review and sign off on proposed pharmacist denials for preservice outpatient medication requests
• Conduct coverage reviews and render coverage determinations based on individual member plan documents
• Collaborate with Clinical Coverage Review staff and communicate with providers regarding benefit determinations

Required Qualifications

• Active, unrestricted physician license
• Current board certification in Rheumatology, Hematology-Oncology, Internal Medicine, Family Practice or Emergency Medicine
• 5+ years of clinical practice experience after completing residency training
• Substantial experience in using electronic clinical systems
• Proven solid belief in Evidence Based Medicine and familiarity with current medical issues and practices