Clinical Pharmacist 1

Spectraforce Technologies, Inc.; Houston (TX); Remote; USD 69,000 - 96,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a Clinical Pharmacist for a 3-month remote engagement. The pharmacist will review patient medical information and pharmacy claims for gaps, develop formularies for assigned plans, and ensure high-quality medication therapy management (MTM) work across programs.

Responsibilities include monitoring prior authorizations, supporting internal teams, and contributing to DUR and policy development within Medicare/Medicaid contexts. Must hold a PharmD or B.S.

Qualifications

• MTM experience is required.
• Must be licensed in your state of residence.
• 2+ years MTM experience required; no MTM = disqualifier.

Responsibilities

• Develop clinical criteria for medications and program design.
• Monitor prior authorization requests.
• Provide clinical support to internal departments.

Skills

Work independently

Critical thinking

Clinical skill

Education

B.S. in Pharmacy or PharmD

Job description

Title

Clinical Pharmacist 1

Location

Remote - any time zone EXCEPT PST

Duration

3 Months

Working Hours

9 AM - 6 PM local time, no OT requirements

Job Summary

We provide medication reviews for members that have qualified for one of our pharmacy clinical programs. Define and develop standard and custom formularies for assigned plan. Pharmacist will be expected to review a patient's medical information and pharmacy claims for gaps in care, drug therapy problems, etc. Expectation is 90% productivity daily.

Additional 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

Candidate Requirements

Education/Certification

• Required: B.S. in Pharmacy or PharmD

Licensure

• Required: required to be licensed in state of residence

Experience

• Years of experience required: at least 2 years MTM experience
• Disqualifiers: Not having MTM experience
• Additional qualities to look for: NA

Top 3 must-have hard skills stack-ranked by importance

• Work independently
• Critical thinking
• Clinical skill