Consultant Pharmacy IV, Managed Care -Sourcing Requisition REMOTE

UMass Chan Medical School; Shrewsbury; Remote; GBP 50,000 - 70,000; Full time

Job summary

A leading healthcare institution is seeking a Consultant Pharmacist IV for a remote role. The position involves overseeing medication management programs, training staff, and conducting drug therapy reviews. Ideal candidates will have a relevant pharmacy degree and experience in managed care. This role is part of a candidate pool for future openings, encouraging direct applications to matching positions.

Qualifications

• 3 years of experience with Bachelor's in Pharmacy or 2 years with Doctor of Pharmacy.
• Managed care residency or 1-year residency and 1-year pharmacy experience.

Responsibilities

• Provide training and guidance to pharmacy staff.
• Coordinate prior authorization requests and ensure compliance.
• Conduct medication therapy reviews and provide drug therapy recommendations.

Skills

Bilingual Skills

Education

Bachelor's in Pharmacy

Doctor of Pharmacy

Job description

Consultant Pharmacy IV, Managed Care - Sourcing Requisition REMOTE

Join to apply for the Consultant Pharmacy IV, Managed Care - Sourcing Requisition REMOTE role at UMass Chan Medical School.

This requisition is being used as a sourcing tool and does not have an open vacancy. Your application will add you to a candidate pool for potential future openings. We encourage you to apply directly to positions that match your background, as this will not replace your application for other openings.

Position Overview

Under the direction of the Manager or Team Lead, the Consultant Pharmacist IV participates in drug utilization review and medication management programs within Clinical Pharmacy Services (CPS). Responsibilities include handling live calls, reviewing drug therapy, managing prior authorization requests, and developing clinical drug use criteria. The role also involves training and supervising pharmacy staff.

Key Responsibilities

• Provide training and guidance to pharmacy staff.
• Coordinate prior authorization requests, ensure compliance with deadlines.
• Participate in program planning and development.
• Develop clinical drug use criteria for DUR activities.
• Research member cases and represent the client in appeals.
• Conduct medication therapy reviews and interact with healthcare providers and members.
• Provide real-time drug therapy recommendations.
• Review clinical documentation for medical necessity and compliance.
• Decide on prior authorization requests via telephone.
• Contribute to advisory boards and quality initiatives.
• Perform other duties as assigned.

Qualifications

• Bachelor's in Pharmacy with 3 years of experience OR
• Doctor of Pharmacy with 2 years of pharmacy experience or completion of 2-year residency OR
• Doctor of Pharmacy with 1-year residency and 1-year pharmacy experience OR
• Doctor of Pharmacy with managed care residency.

Licensure in Massachusetts, ability to travel, experience in medication review, and bilingual skills are required.