Clinical Staff Pharmacist Remote

Prime Therapeutics; New Hanover (PA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare company is seeking a Clinical Staff Pharmacist to work remotely. Responsibilities include evaluating coverage determination requests and consulting with healthcare providers. Candidates must possess a PharmD or BS Pharmacy degree, have a current pharmacist license, and 1 year of relevant experience. The position offers a competitive salary range based on experience and skills.

Qualifications

• Current pharmacist license in good standing with the State Board of Pharmacy.
• 1 year relevant work experience.
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Responsibilities

• Responsible for clinical evaluation for coverage determination requests.
• Accountable for consultation with health care providers on coverage issues.
• Collaborate with team members to promote decision consistency.

Skills

Excellent verbal and written communication skills

Ability to work independently and as part of a team

Education

Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree

Tools

Microsoft Office

Job description

Overview

Our work matters. We help people get the medicine they need to feel better and live well. We do notlose sight of that. It fuels our passion and drives every decision we make.

Job Title

Clinical Staff Pharmacist — Remote

Responsibilities

• Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, step therapy, formulary exception and tier exception; this includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the intent of the individual client’s pre-approved criteria
• Accountable for direct consultation with health care providers concerning non-formulary and clinical product coverage issues
• Collaborate with team members to promote consistency of decisions across the pharmacist team
• Other duties as assigned

Minimum Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree
• Current pharmacist license in good standing with the State Board of Pharmacy
• 1 year relevant work experience
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Excellent verbal and written communication skills
• Ability to work independently and as part of a team

Preferred Qualifications

• Managed care experience
• Proficiency with Microsoft Office

Company Policies

• Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
• Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. Prime retains the right to change or assign other duties to this job.

Compensation and Benefits

Potential pay for this position ranges from $51.92 - $88.46 based on experience and skills. See the Benefits Page for more detail.

Equal Opportunity

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.