Clinical Pharmacist 1 - 210392

IMCS Group; Florida; On-site; USD 105,000 - 125,000; Full time

Job summary

IMCS Group is seeking a pharmacist to define and develop standard and custom formularies for assigned plans. This role requires a PharmD or equivalent, with 2+ years of pharmacy experience (or 1+ year residency) and an active license without restrictions.

You will develop clinical criteria, monitor prior authorizations, and provide clinical guidance to internal teams while ensuring quality controls and DUR programs for Medicaid and Medicare.

Qualifications

• Bachelor’s degree in pharmacy or higher.
• 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.

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.

Skills

Clinical criteria development

Prior authorization processes

Medications knowledge

Education

Bachelor’s degree in pharmacy

Pharm.D., MS

Job description

Description: Job Profile Summary

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

Custom Fields:

Name: Which Health Plan, programs or functions will this work support?

Value: *** Pharmacy Services

Name: Shortlisting Date

Value: None

Name: Field Worker

Value: No