Clinical - Clinical Pharmacist 1 - 210392

Mindlance

Remote-FL, FL(remote)

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JOB DETAILS

SKILLS

Background Investigation, Biotech and Pharmaceutical, Case Management, Clinical Support, Diversity, Formulary, Hospital Administration, Managed Care, Medicaid, Medicare, Medications, Microsoft Exchange Server, Performance Management, Performance Metrics, Pharmacy, Policy Implementation, Quality Assurance, Retail, Standards Development

LOCATION

Remote-FL, FL(remote)

POSTED

30+ days ago

Job Profile Summary
Position Purpose: Define and develop standard and custom formularies for assigned plan.

Education/Experience: Bachelor s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

Licenses/Certifications: Current state s Pharmacist license with no restrictions.

Responsibilities
" Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
" Monitor prior authorization requests
" Provide clinical support to internal departments and address clinical related questions
" Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
" Develop and implement programs designed to impact DUR for both Medicaid and Medicare
" Develop, implement, and maintain policies and procedures for the pharmacy department
" Participate in the coordination of the Medicare MTM program
" Assist case management team with members including clinical rounds presentations

EEO:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

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Job Profile Summary Position Purpose: Define and develop standard and custom formularies for assigned plan. Education/Experience: Bachelor s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. Licenses/Certifications: Current state s Pharmacist license with no restrictions. Responsibilities " Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated " Monitor prior authorization requests " Provide clinical support to internal departments and address clinical related questions " Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice " Develop and implement programs designed to impact DUR for both Medicaid and Medicare " Develop, implement, and maintain policies and procedures for the pharmacy department " Participate in the coordination of the Medicare MTM program " Assist case management team with members including clinical rounds presentations
Story Behind the Need
What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative?		This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique?		A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determiantions
Candidate Requirements
Education/Certification	Required: Bachelors / PharmD			Preferred:
Licensure	Required: Current states pharmacist license			Preferred:
Years of experience required: 1 to 3 years experience Disqualifiers: None Additional qualities to look for: Flexibility to work a weekend rotation
Top 3 must-have hard skills stack-ranked by importance		1	Clinical decision making
		2	Ability to learn new skills quickly
		3	Adaptability
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations		Projected Manager Candidate Review Date:			1-2 days post shortlisting
		Type of Interviews:			Teams-camera on
		Required Testing or Assessment (by Vendor):			NA
Next Steps
Additional background check requirements (List DFPS or other specialty checks here)
Do you have any upcoming PTO?
Colleagues to cc/delegate
Are there any training requirements (time off, alternate schedule, etc.)?

About the Company

Mindlance

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