Pharmacist 3

Nunez Community College; Baton Rouge (LA); On-site; USD 85,000 - 105,000; Full time

Job summary

The Louisiana Department of Health seeks a pharmacist to oversee Medicaid pharmacy services, ensuring compliance and policy implementation across contractors and providers. You will provide clinical guidance on drug coverage, participate in DUR activities, and help drive cost-containment strategies statewide.

Location is East Baton Rouge Parish; appointment may be probationary or promotional. Requires a current LA pharmacy license and at least two years of experience.

Qualifications

• Must hold a current Louisiana license to practice pharmacy.
• Two years of experience as a licensed pharmacist.

Responsibilities

• Provides regulatory oversight of pharmacy contractors, monitors contractor performance, and ensures compliance with program priorities, standards, and agency policies.
• Provides clinical and technical expertise on Medicaid pharmacy policy, including policy changes, Single Preferred Drug List (PDL) maintenance, and implementation of new or revised requirements.
• Oversees Fee-for-Service (FFS) pharmacy claims operations, including claims submission, clinical overrides, claim interventions, drug file updates, and payment and authorization statuses.
• Develops and approves clinical criteria for drug coverage, participates in Drug Utilization Review (DUR) activities, and recommends strategies to improve prescribing and dispensing practices.
• Coordinates pharmacy benefit activities involving third-party payers, including Medicare Part B and Part D drug coverage, and assists with pharmacy provider enrollment and related payment processing.
• Provides clinical consultation and technical assistance to pharmacy staff, providers, recipients, manufacturers, legislators, and oversight agencies regarding complex pharmacy program and policy matters.
• Participates in Pharmaceutical and Therapeutics Committee activities, reviews clinical and financial drug information, monitors PDL implementation, develops innovative pharmacy practices, and supports disaster preparedness and other program initiatives.

Skills

Pharmacy license

Experience

Job description

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

Shape the Future of Medicaid Pharmacy Services! Join the Louisiana Department of Health’s Pharmacy Section and help ensure Louisianans have access to high-quality pharmacy services while driving innovation, efficiency, and cost savings. This is an opportunity to contribute to a complex statewide Medicaid program, support impactful cost‑containment initiatives, and help strengthen pharmacy services for the people of Louisiana. Bring your expertise to LDH and make an impact that reaches communities statewide!

Possession of a current Louisiana license to practice pharmacy plus two years of experience as a licensed pharmacist.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties:

• Provides regulatory oversight of pharmacy contractors, monitors contractor performance, and ensures compliance with program priorities, standards, and agency policies.
• Provides clinical and technical expertise on Medicaid pharmacy policy, including policy changes, Single Preferred Drug List (PDL) maintenance, and implementation of new or revised requirements.
• Oversees Fee-for-Service (FFS) pharmacy claims operations, including claims submission, clinical overrides, claim interventions, drug file updates, and payment and authorization statuses.
• Develops and approves clinical criteria for drug coverage, participates in Drug Utilization Review (DUR) activities, and recommends strategies to improve prescribing and dispensing practices.
• Coordinates pharmacy benefit activities involving third-party payers, including Medicare Part B and Part D drug coverage, and assists with pharmacy provider enrollment and related payment processing.
• Provides clinical consultation and technical assistance to pharmacy staff, providers, recipients, manufacturers, legislators, and oversight agencies regarding complex pharmacy program and policy matters.
• Participates in Pharmaceutical and Therapeutics Committee activities, reviews clinical and financial drug information, monitors PDL implementation, develops innovative pharmacy practices, and supports disaster preparedness and other program initiatives.

Position-Specific Details:

Location:Medical Vendor Administration / Director's Office/Executive Management Team / East Baton Rouge Parish

Appointment Type: This position may be filled as aProbationary appointment or Promotional appointment

Cost Center: 3052010100

Position Number(s): 50335447

Contact Information:

Shambrielle Pooler

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non‑merit factor.