Provider Liaison Pharmacist | Clinical Ops, Middle TN

PRIME Therapeutics; Tennessee; On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Provider Liasion Pharmacist – Middle TN. The Clinical Pharmacist will deliver analysis for operations, benefit plans, formulary management, and regulatory activities.

You will collaborate with internal teams and clients on testing scenarios, data preparation, and adherence to QA standards. Responsibilities include testing, issue resolution, ensuring regulatory compliance, and supporting formulary changes.

Qualifications

• PharmD or BS in Pharmacy required.
• 1 year of clinical, retail, hospital, or managed care experience.
• 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 for QA.
• Identify and resolve system issues and perform root-cause analysis to avoid service disruption.
• Ensure benefit plans comply with regulatory requirements (federal, CMS, state, local).
• Develop and verify data for drug utilization and claims adjudication to support coverage decisions.
• Support DUR service messages, testing, and adjudication workflows for accuracy and compliance.
• Collaborate with leaders to implement formulary changes and contribute to committees.

Skills

Analytical thinking

Problem solving

Team collaboration

Project management

Excel

Word

Education

PharmD or B.S. Pharmacy

Active Pharmacist License in applicable state

Tools

AS400

Lotus Notes

Job description

Prime Therapeutics is seeking a Provider Liasion Pharmacist – Middle TN. The Clinical Pharmacist will deliver analysis for operations, benefit plans, formulary management, and regulatory activities.

You will collaborate with internal teams and clients on testing scenarios, data preparation, and adherence to QA standards. Responsibilities include testing, issue resolution, ensuring regulatory compliance, and supporting formulary changes.