Provider Liaison Pharmacist: Clinical & Compliance Partner

Prime Therapeutics

Lincoln (NE)

On-site

USD 108,000 - 184,000

Full time

5 days ago

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Job summary

Prime Therapeutics, a leading PBM, is seeking a Clinical Pharmacist to deliver clinical and regulatory analysis supporting operations, formulary management, and publications. This role participates in internal and client-initiated projects, ensuring QA standards and regulatory compliance.

Responsibilities include project testing, data development for drug utilization, and advising committees on formulary changes.

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).
Must be eligible to work in the United States without visa sponsorship.

Responsibilities

Partner with internal stakeholders and clients to develop and maintain project and benefit plan testing scenarios.
Interpret project requests to determine feasibility, document requirements, and provide technical solutions.
Conduct testing, including test plan creation, test execution, and User Acceptance Testing.
Identify and resolve system issues, perform root-cause analysis, escalate problems.
Ensure benefit plans remain compliant with regulatory requirements.
Develop, maintain, and verify data for drug utilization and claims adjudication systems.
Support Drug Utilization Review service messages and adjudication workflows.
Collaborate with leaders to implement formulary changes and provide subject-matter expertise.
Other duties as assigned.