Clinical Pharmacist - Utilization & Cost Mgmt (Hybrid)

USAble Mutual Insurance Company, Inc.; Little Rock (AR); Híbrido; USD 125 000 - 159 000; Tempo integral

Resumo da oferta

USAble Mutual Insurance Company, Inc. is seeking a Clinical Pharmacist to join our hybrid team in Little Rock, AR.

You will work with Pharmacy Leadership and medical directors to manage drug utilization and prior authorization programs, providing subject-matter expertise across enterprise lines. The role requires a PharmD or Bachelor of Pharmacy, an active AR license, and at least 3 years of pharmacy practice experience with managed care/ utilization review preferred.

Qualificações

• Bachelor's degree in Pharmacy from an accredited college of pharmacy.
• Holds an active and current, unrestricted license in pharmacy in the state(s) where job duties are performed required.
• Minimum three (3) years' pharmacy practice experience. Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred.

Responsabilidades

• Assists in development and supervises the drug utilization and prior authorization review program.
• Develops and implements pharmacy cost containment strategies tailored to the enterprise, regions, and large accounts.
• Drafts pharmaceutical criteria and supports the enterprise prior authorization program.
• Keeps up-to-date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors and leadership as a SME.
• May conduct second level review for medical and pharmacy benefit prior-authorizations, exceptions, and medical necessity reviews.
• Ensures alignment of medical policies and configuration for claims processing and utilization management.
• Prepares and presents reports, data and analyses on utilization and cost trends for enterprise lines and large accounts.
• Provides leadership on pharmacy reimbursement policies, procedures, and vendor selection.

Conhecimentos

Coaching Others

Conflict Resolution

Continuous Learning

Critical Thinking

Employee Engagement Strategies

Evaluating Information

Interpersonal Communication

Interpersonal Relationships

Management Techniques

Monitor Processes

Oral Communications

Problem Sensitivity

Researching

Service Oriented

Task Delegation

Time Management

Written Communication

Formação académica

Bachelor's degree in Pharmacy

Descrição da oferta de emprego

USAble Mutual Insurance Company, Inc. is seeking a Clinical Pharmacist to join our hybrid team in Little Rock, AR.

You will work with Pharmacy Leadership and medical directors to manage drug utilization and prior authorization programs, providing subject-matter expertise across enterprise lines. The role requires a PharmD or Bachelor of Pharmacy, an active AR license, and at least 3 years of pharmacy practice experience with managed care/ utilization review preferred.