Remote Clinical Pharmacist - Admin & Compliance

Prime Therapeutics; United States; Remoto; USD 108.000 - 184.000; Tempo pieno

Descrizione del lavoro

Prime Therapeutics is seeking a Clinical Administrative Pharmacist to work remotely in Tennessee. The role focuses on clinical and regulatory analysis, benefit plan testing, formulary management, and ensuring compliance with quality standards.

The candidate will support drug utilization, claims adjudication systems, and regulatory requirements. Responsibilities include developing testing scenarios, documenting requirements, performing UAT, and collaborating with internal and client teams.

Competenze

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

Mansioni

• 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.

Conoscenze

Analytical skills

Problem-solving

Attention to detail

Time management

Team collaboration

Formazione

PharmD or BS in Pharmacy

Strumenti

AS400

Lotus Notes

Microsoft Excel

Microsoft Word

Descrizione del lavoro

Prime Therapeutics is seeking a Clinical Administrative Pharmacist to work remotely in Tennessee. The role focuses on clinical and regulatory analysis, benefit plan testing, formulary management, and ensuring compliance with quality standards.

The candidate will support drug utilization, claims adjudication systems, and regulatory requirements. Responsibilities include developing testing scenarios, documenting requirements, performing UAT, and collaborating with internal and client teams.