Senior Pharmacist — Medicaid Policy & Compliance

State of Louisiana; Baton Rouge (LA); On-site; USD 90,000 - 130,000; Full time

Job summary

The Louisiana Department of Health (LDH) invites applications for a leadership role in the Pharmacy Section, located in East Baton Rouge Parish. The position focuses on regulatory oversight of Medicaid pharmacy services, policy implementation, and coordination with Medicare Part B/D and other payers.

A current Louisiana pharmacy license and two years of licensed pharmacist experience are required. Responsibilities include developing drug-coverage criteria, DUR activities, and supporting disaster

Qualifications

• Licensed pharmacist required.
• Regulatory oversight experience preferred.
• Experience with Medicaid/pharmacy policy is a plus.

Responsibilities

• Oversees regulatory compliance of pharmacy contractors and policies.
• Provides clinical/technical expertise on Medicaid pharmacy policy and PDL maintenance.
• Oversees FFS pharmacy claims operations and related processing.
• Develops clinical criteria for drug coverage and participates in DUR activities.
• Coordinates with third-party payers and assists with provider enrollment and payments.
• Provides clinical consultation to staff, providers, and stakeholders.
• Participates in Pharmaceutical and Therapeutics Committee activities.

Skills

Pharmacy licensure

Regulatory oversight

Policy development

Medicaid pharmacy

Job description

The Louisiana Department of Health (LDH) invites applications for a leadership role in the Pharmacy Section, located in East Baton Rouge Parish. The position focuses on regulatory oversight of Medicaid pharmacy services, policy implementation, and coordination with Medicare Part B/D and other payers.

A current Louisiana pharmacy license and two years of licensed pharmacist experience are required. Responsibilities include developing drug-coverage criteria, DUR activities, and supporting disaster