Clinical Pharmacist 1

Davita Inc.; Jacksonville (FL); Remote; USD 90,000 - 120,000; Full time

Job summary

A leading healthcare company is seeking a Clinical Pharmacist 1 for a remote position. The role involves defining formularies, reviewing medication prior authorizations, and developing clinical criteria. The successful candidate will have a degree in pharmacy, relevant experience, and a valid pharmacist license.

Qualifications

• Bachelor's degree or Pharm.D. in pharmacy required.
• 2+ years of relevant experience or 1+ years from residency program.
• Current state Pharmacist license required.

Responsibilities

• Develop clinical criteria for medications and recommend plan design changes.
• Monitor prior authorization requests and provide clinical support.
• Ensure quality controls and improve pharmacy performance.

Skills

Clinical support

Policy development

Performance improvement

Education

Bachelor's degree in pharmacy

Pharm.D.

M.S. in pharmacy

Job description

Position Title: Clinical Pharmacist 1

Work Location: Remote

Assignment Duration: 6 months

Work Schedule: 10 am - 6:30 pm EST, OT possible



Position Summary:

* Define and develop standard and custom formularies for assigned plan.

Background & Context:

* This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.

Key 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

Qualification & 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

* Current state's Pharmacist license with no restrictions

Position is offered by a no fee agency.