Senior Clinical Pharmacist - Lead PA/DUR (Flexible Hours)
Gainwell Technologies
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Benefits offered by this job
Job summary
Gainwell Technologies seeks a Clinical Pharmacist to drive PA criteria development, PDL management, and DUR oversight in collaboration with P&T and clinical teams. You will lead discussions with physicians, review data, and implement evidence-based criteria to improve formulary decisions.
The role emphasizes cross-functional collaboration, Medicaid knowledge, and advancing clinical pharmacy programs within a growing healthcare solutions company.
Qualifications
- Licensed pharmacist in state licensure
- Minimum 5 years experience in clinical pharmacy or PBM
- Experience with PA criteria development and PDL management preferred
- Experience with P&T Committee and DUR Board participation is a plus
Responsibilities
- Develop PA criteria and documents for P&T/DUR Board presentations.
- Review clinical and pricing data to inform P&T and DUR Board decisions for coverage and PDL placement.
- Consult with prescribers to provide coaching on prescribing practices identified as outliers.
- Support retrospective DUR initiatives by reviewing claims data and proposing interventions.
- Collaborate on scripting refinements and implement feedback from physicians and other prescribers.
Skills
Education
Job description
Gainwell Technologies seeks a Clinical Pharmacist to drive PA criteria development, PDL management, and DUR oversight in collaboration with P&T and clinical teams. You will lead discussions with physicians, review data, and implement evidence-based criteria to improve formulary decisions.
The role emphasizes cross-functional collaboration, Medicaid knowledge, and advancing clinical pharmacy programs within a growing healthcare solutions company.
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