Clinical Staff Pharmacist Remote

Prime Therapeutics; Richmond (VA); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization is seeking a Clinical Staff Pharmacist for a remote position. The role involves evaluating coverage determination requests and consulting with healthcare providers. Candidates should hold a PharmD or Bachelor of Science in Pharmacy and have a valid pharmacist license. Excellent communication and teamwork skills are required. Competitive pay ranges from $51.92 to $88.46 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 the clinical evaluation for coverage determination requests.
• Accountable for consultations with healthcare providers concerning coverage issues.
• Collaborate with team members to promote consistency of decisions.

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

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Clinical Staff Pharmacist Remote

Job Description

The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (i.e. formulary exceptions, prior authorization, step therapy, quantity limit exceptions) for delegated products and services.

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

Potential pay for this position ranges from $51.92 - $88.46 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the Benefits at a glance button for more detail.

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.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [e-mail].