Remote Clinical Pharmacist - Formulary & Compliance

Prime Therapeutics; Oregon; Híbrido; USD 108.000 - 184.000; Jornada completa

Descripción de la vacante

Prime Therapeutics is seeking a Clinical Administrative Pharmacist to deliver clinical and regulatory analysis supporting operations and benefit-plan programs. The role includes testing, formulary changes, and data integrity for drug utilization and claims adjudication systems.

You will collaborate with stakeholders, ensure regulatory compliance, and contribute to client projects while maintaining quality assurance standards and efficient processes.

Formación

• 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 the need for work visa or residency sponsorship.

Responsabilidades

• 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

Conocimientos

Analytical thinking

Problem solving

Multi-project management

Attention to detail

Educación

Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree

Herramientas

AS400

Lotus Notes

SQL/queries

Microsoft Excel

Microsoft Word

Descripción del empleo

Prime Therapeutics is seeking a Clinical Administrative Pharmacist to deliver clinical and regulatory analysis supporting operations and benefit-plan programs. The role includes testing, formulary changes, and data integrity for drug utilization and claims adjudication systems.

You will collaborate with stakeholders, ensure regulatory compliance, and contribute to client projects while maintaining quality assurance standards and efficient processes.