Clinical Pharmacist Part-Time

Arkansas Blue Cross; United States; Remote; USD 25,000 - 123,000; Full time

Job summary

Arkansas Blue Cross Clinical Pharmacist position offers remote work from home within specified states, reporting to Pharmacy Leadership and collaborating with medical directors and enterprise personnel.

This role emphasizes drug utilization review, prior authorization programs, cost containment strategies, and data-driven analyses to support enterprise operations and patient care.

Qualifications

• Licensed pharmacist with an active and unrestricted license in the states where duties are performed.
• Minimum three years of pharmacy practice experience.
• Experience in managed pharmacy care and drug utilization review is preferred.
• Position may require up to ~24 hours per week.

Responsibilities

• Assists in development of and supervises the drug utilization and prior authorization review program.
• Contributes to and supports Enterprise-wide undertakings and commitments.
• Develops, implements, and manages pharmacy cost containment strategies.
• Develops and implements pharmacy cost containment strategies tailored to enterprise regions and large accounts.
• Drafts medical criteria and performs activities in support of the enterprise prior authorization program.
• Prepares and presents reports and analyses on utilization and cost trends for enterprise lines and regions.
• Provides leadership on pharmacy reimbursement, claims processing policies and procedures, and vendor selection.
• Serves as a corporate pharmacy resource to medical management, operations, and sales staffs on pharmacy issues.
• Serves as a liaison to pharmacists, professional organizations, internal committees, and other providers.
• Uses clinical knowledge and critical thinking to interpret criteria, policies, and procedures for prior approval and retrospective reviews.
• Collaborates with vendors to ensure satisfactory service for members and providers.

Skills

Oral & Written Communication

Presentation

Organizational

Analytical

Problem-Solving

Decision-Making

Coaching Others

Conflict Resolution

Continuous Learning

Critical Thinking

Employee Engagement Strategies

Evaluating Information

Interpersonal Communication

Interpersonal Relationships

Management Techniques

Monitor Processes, Materials, or Suror

Education

Bachelor's degree in Pharmacy

Tools

N/A

Job description

Job Summary

The Clinical Pharmacist will report to and operate under the direction of Pharmacy Leadership and will also be expected to work cooperatively and sometimes independently with all medical directors and enterprise personnel.

Requirements

Education

• Bachelor's degree in Pharmacy from an accredited college of pharmacy

Licensing/Certification

• Holds an active and current, unrestricted license in pharmacy in the state(s) where job duties are performed required

Experience

• Minimum three (3) years' pharmacy practice experience
• Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred
• This position may require up to or around 24 hours a week.

Essential Skills & Abilities

• Oral & Written Communication
• Presentation
• Organizational
• Analytical
• Problem-Solving
• Decision-Making

Location

Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota. Preference will be given to current employees and candidates who reside in Arkansas, Utah, Idaho, and North Dakota.

Skills

• Coaching Others
• Conflict Resolution
• Continuous Learning
• Critical Thinking
• Employee Engagement Strategies
• Evaluating Information
• Interpersonal Communication
• Interpersonal Relationships
• Management Techniques
• Monitor Processes, Materials, or Surroundings
• Oral Communications
• Problem Sensitivity
• Researching
• Service Oriented
• Task Delegation
• Time Management
• Written Communication

Responsibilities

• Assists in development of and supervises the drug utilization and prior authorization review program
• Contributes to and supports Enterprise-wide undertakings and commitments
• Develops, implementks, and manages pharmacy cost containment strategies
• Develops and implements pharmacy cost containment strategies tailored to the specific situations and patterns of the enterprise, specific regions, and large accounts
• Drafts medical criteria and performs other activities in support of the enterprise prior authorization program
• Prepares and presents reports, data and analyses on the utilization and cost trends for enterprise lines of business, specific regions, and large accounts
• Provides leadership and advice on developing and implementing pharmacy reimbursement, claims processing policies and procedures, and pharmacy vendor selection
• Serves as a corporate pharmacy resource to medical management, operations, and sales staffs on pharmacy issues
• Serves as a liaison to individual pharmacists, professional pharmacy organizations, internal committees, case management, medical management, and other providers on pharmacy issues
• Uses clinical knowledge and independent critical thinking skills towards interpreting criteria, policies, and procedures to make determinations on prior approval reviews and retrospective reviews
• Works with the clinical and operations staff of all vendors of pharmacy programs to ensure that members and providers are receiving a satisfactory-level of service

Hiring Range

$18.13 - $89.07

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular

ADA Requirements

1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.