Remote LTC Clinical Service Center Pharmacist

Remedi SeniorCare Pharmacy; Dayton (OH); Hybrid; USD 110,000 - 115,000; Full time

Job summary

Remedi SeniorCare, a division of Clarest Health, seeks a Clinical Service Center Pharmacist to support daily operations. You will review rejected claims, recommend suitable alternatives, and oversee ATI processes while ensuring compliance with state and federal LTC pharmacy guidelines.

The role involves training, eventual remote work with some onsite requirements, and aligns with our mission-driven approach to high-quality patient care.

Qualifications

• PharmD required and eligible for Ohio licensure.
• Active license in good standing where applicable.
• Ability to work under regulatory guidelines and policies.

Responsibilities

• Oversight of clinical claim reject activity and resolution.
• Recommend clinically comparable formulary alternatives.
• Review and approve clinical documentation for prior authorizations.
• Guide CSC Technicians on steps with insurers and customers.
• Collaborate with LTC departments to meet daily goals.
• Maintain organized CSC documentation related to ATI/claims.

Skills

Attention to detail

Clinical knowledge

Problem solving

Technical systems

Communication skills

Education

PharmD

Job description

Remedi SeniorCare, a division of Clarest Health, seeks a Clinical Service Center Pharmacist to support daily operations. You will review rejected claims, recommend suitable alternatives, and oversee ATI processes while ensuring compliance with state and federal LTC pharmacy guidelines.

The role involves training, eventual remote work with some onsite requirements, and aligns with our mission-driven approach to high-quality patient care.