State Licensed Clinical Pharmacist

Job Summary

A company is looking for a Remote Clinical Pharmacist I.

Key Responsibilities:

• Review and render Part D coverage determinations and appeals, ensuring compliance with CMS regulations
• Conduct Medication Therapy Management services, including comprehensive medication reviews for high-risk members
• Participate in pharmacy quality improvement projects to enhance member safety and adherence rates

Required Qualifications:

• Minimum of 1 year of experience in a health plan, Pharmacy Benefit Manager (PBM), or managed care pharmacy setting
• Bachelor's degree in Pharmacy or a related health science field is required
• Active and unrestricted Pharmacist license in the applicable state(s) is required
• Preferred: Doctor of Pharmacy (PharmD), Master's degree, or PhD in Pharmacy
• Experience in Medicare Part D operations or formulary management is strongly expected