Clinical Pharmacist – Part-Time

Job Description:

• Reports to and operates under the direction of Pharmacy Leadership
• Works cooperatively and sometimes independently with medical directors and enterprise personnel
• Assists in development of and supervises the drug utilization and prior authorization review program
• Contributes to and supports Enterprise-wide undertakings and commitments
• Develops and manages pharmacy cost containment strategies
• Develops and implements pharmacy cost containment strategies tailored to the enterprise, specific regions, and large accounts
• Drafts medical criteria and supports the enterprise prior authorization program
• Prepares and presents reports, data, and analyses on utilization and cost trends
• Provides leadership and advice on pharmacy reimbursement, claims processing policies and procedures, and pharmacy vendor selection
• Serves as a corporate pharmacy resource to medical management, operations, and sales staffs
• Serves as a liaison to pharmacists, professional pharmacy organizations, internal committees, case management, medical management, and other providers
• Uses clinical knowledge and independent critical thinking to interpret criteria, policies, and procedures and make determinations on prior approval and retrospective reviews
• Works with clinical and operations staff of pharmacy program vendors to ensure satisfactory service for members and providers

Requirements:

• Bachelor's degree in Pharmacy from an accredited college of pharmacy
• Holds an active and current, unrestricted license in pharmacy in the state(s) where job duties are performed required
• Minimum three (3) years' pharmacy practice experience
• Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred
• Oral & Written Communication
• Presentation
• Organizational
• Analytical
• Problem-Solving
• Decision-Making
• Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota
• This position may require up to or around 24 hours a week