Provider Liaison Pharmacist – Clinical & Regulatory Impact

Prime Therapeutics; Jackson (MS); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Provider Liaison Pharmacist to deliver clinical and regulatory analysis that supports operations, benefit plans, formulary management, and related publications. The role partners with internal stakeholders to develop testing scenarios, interpret requests, conduct testing, and ensure compliance with federal, CMS, state, and local requirements.

Requirements include PharmD or BS in Pharmacy, a current pharmacist license, at least one year of relevant experience, and

Qualifications

• PharmD or BS in Pharmacy.
• 1 year of work experience in clinical, retail, hospital, or managed care.
• Current Pharmacist license to practice in the applicable state(s).

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 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 coverage decisions.
• Support concurrent Drug Utilization Review service messages, testing and adjudication workflows.
• Collaborate with leaders to implement client-requested formulary changes and provide SME to committees.
• Other duties as assigned.

Skills

Analytical thinking

Project management

Attention to detail

Team collaboration

Education

PharmD or BS in Pharmacy

Tools

AS400

Lotus Notes

Job description

Prime Therapeutics is seeking a Provider Liaison Pharmacist to deliver clinical and regulatory analysis that supports operations, benefit plans, formulary management, and related publications. The role partners with internal stakeholders to develop testing scenarios, interpret requests, conduct testing, and ensure compliance with federal, CMS, state, and local requirements.

Requirements include PharmD or BS in Pharmacy, a current pharmacist license, at least one year of relevant experience, and