Clinical Pharmacist: Provider Liaison (Middle TN)

Prime Therapeutics; Carson City (NV); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Clinical Pharmacist to deliver clinical and regulatory analysis supporting operations and formulary management. You will work on benefit plan testing, data verification, and compliance across federal, CMS, and state regulations.

The role requires PharmD or BS in Pharmacy, pharmacist licensure, and 1 year of relevant experience. Strong analytical skills and Excel/Word proficiency are essential. Salary ranges from $108,000 to $184,000 per year.

Qualifications

• PharmD or BS in Pharmacy and eligible for pharmacist license.
• 1 year of work experience in clinical, retail, hospital, or managed care.
• Current Pharmacist license to practice in applicable state(s).
• Knowledge of AS400, queries, and Lotus Notes.
• Strong analytical and problem‑solving skills with attention to detail.
• Ability to manage multiple projects under strict timelines.
• Proficiency with Microsoft Excel and Word.
• Experience with MediSpan or First Databank is preferred.
• Formulary/Workplace management tool experience is a plus.
• Experience with claim adjudication systems is desirable.
• BPS certification, residency, or fellowship is a plus.

Responsibilities

• Develop and maintain project and benefit plan testing scenarios.
• Interpret requests to determine feasibility, document requirements, and provide solutions.
• Conduct testing including test plans, execution, and UAT.
• Identify and resolve system issues, perform root-cause analysis.
• Ensure benefit plans comply with federal, CMS, state and local regulations.
• Support data for drug utilization and claims adjudication systems.
• Assist with DUR service messages and adjudication workflows.
• Collaborate to implement formulary changes and advise committees.
• Other duties as assigned.

Skills

Analytical skills

Problem solving

Team collaboration

Process improvement

Attention to detail

Education

PharmD or BS Pharmacy

Tools

AS400

Lotus Notes

Queries

MS Excel

MS Word

MediSpan

First Databank

Job description

Prime Therapeutics is seeking a Clinical Pharmacist to deliver clinical and regulatory analysis supporting operations and formulary management. You will work on benefit plan testing, data verification, and compliance across federal, CMS, and state regulations.

The role requires PharmD or BS in Pharmacy, pharmacist licensure, and 1 year of relevant experience. Strong analytical skills and Excel/Word proficiency are essential. Salary ranges from $108,000 to $184,000 per year.