Clinical Pharmacist

IMCS; United States; On-site; USD 80,000 - 87,000; Full time

Job summary

IMCS is seeking a licensed pharmacist for a 6-month contract with the possibility to extend or convert to FTE. Schedule is 10am - 6:30pm EST, pay rate $58 to $63/hr.

A typical day includes reviewing 140 to 160 clinical prior authorizations or coverage determinations. You will develop formularies, clinical criteria, and programs for Medicaid/Medicare, provide internal clinical support, and ensure quality controls within the pharmacy department.

Qualifications

• 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

Responsibilities

• Review 140 to 160 clinical prior authorizations or coverage determinations daily.
• Define and develop standard and custom formularies for assigned plan.
• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated.
• 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.

Skills

Pharmacy experience

Job description

Duration: 6 months Contract (Possibility to extend or convert to FTE)

Schedule:10am - 6:30pm EST

Pay Rate: $58 to $63/hr

Key Responsibilities:

• A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determinations
• Define and develop standard and custom formularies for assigned plan.
• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• 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

Skills Required:

• 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.