Hybrid Pharmacist-Consultant: Prior Authorization Expert

Blue Shield of CA; Redding (CA); Hybrid; USD 120,000 - 150,000; Full time

Job summary

Blue Shield of California seeks a Pharmacist-Consultant to join the Prior Authorization team to support evidence-based decisions for the outpatient pharmacy benefit. You will work to ensure high-quality, cost-effective pharmacotherapy guidance within the Pharmacy and Therapeutics Committee framework.

The role requires a PharmD, an active California RPh license, and at least 2 years of clinical pharmacy experience, including prior authorization experience and formulary knowledge.

Qualifications

• Requires a Doctor of Pharmacy (PharmD) degree.
• Requires active California Registered Pharmacist (RPh) license.
• Requires at least 2 years of experience in clinical pharmacy.
• Requires experience working at a health plan (managed care, government payer, or academic).
• 1 year of prior authorization experience required.
• Experience working with formulary and medication policies required.
• Excellent oral and written communication skills.
• Thorough knowledge of therapeutic use of medications.

Skills

Clinical pharmacy

Prior authorization

Formulary knowledge

Communication skills

Therapeutic knowledge

Health plan experience

RPh license

Education

PharmD

Job description

Blue Shield of California seeks a Pharmacist-Consultant to join the Prior Authorization team to support evidence-based decisions for the outpatient pharmacy benefit. You will work to ensure high-quality, cost-effective pharmacotherapy guidance within the Pharmacy and Therapeutics Committee framework.

The role requires a PharmD, an active California RPh license, and at least 2 years of clinical pharmacy experience, including prior authorization experience and formulary knowledge.