Provider Liaison Pharmacist: Clinical Impact & Growth

Prime Therapeutics; Denver (CO); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Provider Liaison Pharmacist to join our team. The Clinical Pharmacist will support benefit plan testing, formulary changes, and regulatory compliance, delivering analytics and project support across multiple initiatives in a regulated healthcare environment.

Candidates must have PharmD or BS in Pharmacy, valid pharmacist license, one year of relevant experience, and proficiency with Excel/Word; familiarity with AS400, queries, and Lotus Notes is a plus.

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

Problem solving

Project management

Collaboration

Excel

Word

Education

PharmD or BS Pharmacy

Tools

AS400

Lotus Notes

Job description

Prime Therapeutics is seeking a Provider Liaison Pharmacist to join our team. The Clinical Pharmacist will support benefit plan testing, formulary changes, and regulatory compliance, delivering analytics and project support across multiple initiatives in a regulated healthcare environment.

Candidates must have PharmD or BS in Pharmacy, valid pharmacist license, one year of relevant experience, and proficiency with Excel/Word; familiarity with AS400, queries, and Lotus Notes is a plus.