Clinical Pharmacist – Utilization Management

Role Overview

• Develop and deliver clinical messages to physicians, members, clients, and consultants
• Manage prior authorization, high-cost cases, claims editing and clinical policy development
• Evaluate and summarize clinical literature as well as financial implications related to medication management options
• Ability to present deep clinical and cost effectiveness information as a peer-to-peer consult

Requirements

• Doctor of Pharmacy (PharmD)
• Current pharmacist license (RPh) in good standing with a State Board of Pharmacy
• Board of Pharmacy Certification, preferred for Pharmacotherapy, Ambulatory Care or Oncology Care
• 3 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency preferred.
• Pharmacy and Medical specialty benefit knowledge and experience
• Microsoft Excel, Power Point and Word proficiency

Benefits

• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off