Provider Liaison Pharmacist — Formulary & Compliance

PRIME Therapeutics; United States; Remote; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Provider Liasion Pharmacist in Middle TN to deliver clinical and regulatory analysis supporting operations, formulary management and benefit plan testing.

The role requires PharmD or BS in Pharmacy with licensure in the US, and at least 1 year of relevant experience. Strong data analysis, AS400/Medispan experience and collaboration skills are preferred. Equal opportunity employer.

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

• Develop and maintain project and benefit plan testing scenarios
• Interpret requests and document requirements with feasible technical solutions
• Conduct testing including test plans, execution, and UAT for QA
• Identify and resolve system issues to avoid service disruption
• Ensure compliance with regulatory requirements (federal, CMS, state, local)
• Develop and verify data for drug utilization and claims adjudication systems
• Support concurrent Drug Utilization Review messages and workflows
• Collaborate to implement client-requested formulary changes and provide SME input
• Perform other duties as assigned

Skills

Analytical skills

Attention to detail

Team collaboration

Time management

Education

PharmD or BS in Pharmacy

Licensure to practice Pharmacy in US

BPS certification / residency / fellowship (preferred)

Tools

AS400

Lotus Notes

Excel

Word

MediSpan

First Databank

Job description

Prime Therapeutics is seeking a Provider Liasion Pharmacist in Middle TN to deliver clinical and regulatory analysis supporting operations, formulary management and benefit plan testing.

The role requires PharmD or BS in Pharmacy with licensure in the US, and at least 1 year of relevant experience. Strong data analysis, AS400/Medispan experience and collaboration skills are preferred. Equal opportunity employer.