Clinical Pharmacist – Provider Liaison & Formulary Excellence

Prime Therapeutics; Minneapolis (MN); Presencial; USD 108.000 - 184.000; Jornada completa

Descripción de la vacante

Prime Therapeutics invites a Clinical Pharmacist to join our team in the United States. The role focuses on clinical and regulatory analysis to support operations, benefit plans, formulary management, and publications.

It involves collaboration with clients and internal stakeholders on testing, compliance, and project execution. The position requires a PharmD or BS in Pharmacy, a current pharmacist license, and at least 1 year of relevant experience.

Formación

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree is required.
• Current Pharmacist license to practice in applicable state(s).
• 1 year of work experience in clinical, retail, hospital, or managed care.

Responsabilidades

• Partner with internal stakeholders and clients to develop and maintain project and benefit plan testing scenarios, including utilization management and specialty offerings.
• Interpret project requests to determine feasibility, document requirements, and provide technical solutions.
• Conduct testing, including test plan creation, test execution, and User Acceptance Testing for quality assurance.
• Identify and resolve system issues, perform root-cause analysis, and elevate problems to avoid service disruption.
• Ensure benefit plans remain in compliance with all regulatory requirements (federal, CMS, state, local, and pharmacy).
• Develop, maintain, and verify data for drug utilization and claims adjudication systems to support evidence-based benefit coverage decisions.
• Support concurrent Drug Utilization Review service messages, table settings, testing and adjudication workflows to ensure accuracy and compliance with established protocols and implementation decisions.
• Collaborate with leaders to implement client-requested formulary changes and provide subject-matter expertise to internal and external committees.

Conocimientos

Analytical skills

Problem-solving

Team collaboration

Detail-oriented

Educación

PharmD or BS Pharmacy degree

Pharmacist license

Herramientas

AS400

Lotus Notes

Excel

Word

Descripción del empleo

Prime Therapeutics invites a Clinical Pharmacist to join our team in the United States. The role focuses on clinical and regulatory analysis to support operations, benefit plans, formulary management, and publications.

It involves collaboration with clients and internal stakeholders on testing, compliance, and project execution. The position requires a PharmD or BS in Pharmacy, a current pharmacist license, and at least 1 year of relevant experience.