Provider Liaison Pharmacist - Clinical & Compliance

Prime Therapeutics; Austin (TX); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Provider Liaison Pharmacist in the United States (Texas/Austin region) to support clinical and regulatory analysis for benefit plans, formulary management and publications. This role involves testing, data development for drug utilization, and collaboration with internal and client committees.

The successful candidate will hold a PharmD or BS in Pharmacy with at least 1 year of relevant experience, possess a current pharmacist license, and be able to work without

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree.
• 1 year of work experience in clinical, retail, hospital, or managed care.
• Current Pharmacist license to practice in the applicable state(s).
• Knowledge of AS400, queries, and Lotus Notes.
• Strong analytical and problem-solving skills with attention to detail and quality.
• Ability to manage multiple projects simultaneously under pressure with strict timelines.
• Skilled in developing and improving process efficiencies.
• Strong collaboration skills and ability to work in a team-oriented environment.
• Proficiency with Microsoft Excel and Word.

Responsibilities

• Partner with internal stakeholders and clients to develop and maintain project and benefit plan testing scenarios, including utilization management and specialty offerings.
• Interpret project requests to determine feasibility, document requirements, and provide technical solutions.
• Conduct testing, including test plan creation, test execution, and User Acceptance Testing for quality assurance.
• Identify and resolve system issues, perform root-cause analysis, and elevate problems to avoid service disruption.
• Ensure benefit plans remain in compliance with all regulatory requirements (federal, CMS, state, local, and pharmacy).
• Develop, maintain, and verify data for drug utilization and claims adjudication systems to support evidence-based benefit coverage decisions.
• Support concurrent Drug Utilization Review service messages, table settings, testing and adjudication workflows to ensure accuracy and compliance with established protocols and implementation decisions.
• Collaborate with leaders to implement client-requested formulary changes and provide subject- matter expertise to internal and external committees.
• Other duties as assigned

Skills

Analytical skills and problem solving

Project management

Team collaboration

Attention to detail

Education

PharmD or BS in Pharmacy

Tools

AS400

Lotus Notes

Microsoft Excel

Microsoft Word

Formulary Database tools

Job description

Prime Therapeutics is seeking a Provider Liaison Pharmacist in the United States (Texas/Austin region) to support clinical and regulatory analysis for benefit plans, formulary management and publications. This role involves testing, data development for drug utilization, and collaboration with internal and client committees.

The successful candidate will hold a PharmD or BS in Pharmacy with at least 1 year of relevant experience, possess a current pharmacist license, and be able to work without