Telecommute Senior Clinical Pharmacist

Job Summary

A managed healthcare and insurance company is seeking a Telecommute Senior Clinical Pharmacist.

Core Responsibilities of this position include:

• Identifying, creating, and developing a Medical Rx portfolio of cost savings initiatives
• Performing and participating in criteria development
• Establishing solid matrixed relationships with internal stakeholders

Required Skills:

• Current and unrestricted pharmacist licensure
• 4+ years experience of auditing, billing, and/or coding claims in the medical benefit
• 4+ years of experience in the health care industry
• 3+ years of working experience and knowledge of CMS rules and regulations related to medical drug codes
• 2+ years of experience analyzing large claim data sets and applying results to identify trends/patterns
• 2+ years of experience presenting proposals to stakeholders and internal customers