North Carolina Licensed Clinical Pharmacist

Job Summary

Engaging Medicare members and collaborating with pharmacies and providers, the North Carolina Licensed Clinical Pharmacist will work remotely on a contract basis to conduct Comprehensive Medication Reviews (CMRs) and address medication adherence gaps.

Key responsibilities

• Conduct Comprehensive Medication Reviews (CMRs) with Medicare members to enhance their understanding of medications and health
• Partner with pharmacies and providers to close adherence gaps and assist unengaged Medicare members
• Review prior authorization requests and provide clinical guidance to Pharmacy Quality Specialists and pharmacy technicians

Required qualifications

• Active North Carolina Pharmacist license
• Experience with Medicare member outreach and medication adherence initiatives
• Knowledge of drug coding (NDC, GCN, GPI, USC) and NCPDP claims adjudication systems
• Familiarity with prior authorization processes and pharmacy benefit design
• Ability to evaluate quality controls and implement performance improvement opportunities in pharmacy practices