Clinical Pharmacist 1
Job Detail
Position Purpose: Define and develop standard and custom formularies for assigned plan.
Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2 years of mail order, retail, hospital or managed care pharmacy experience or 1 years of pharmacy residency program experience.
Licenses/Certifications: Current state’s Pharmacist license with no restrictions.
Responsibilities
• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• Monitor prior authorization requests
• Provide clinical support to internal departments and address clinical related questions
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare
• Develop, implement, and maintain policies and procedures for the pharmacy department
• Participate in the coordination of the Medicare MTM program
• Assist case management team with members including clinical rounds presentations