Description: 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
Custom Fields: Name: Which Health Plan, programs or functions will this work support? Value: *** Pharmacy Services
Name: Field Worker Value: No
Name: Shortlisting Date Value: None
Numbers & Facts
Location
Various, TX
Skills
Biotech and Pharmaceuticalunmatched
Case Managementunmatched
Clinical Supportunmatched
Formularyunmatched
Health Planunmatched
Hospital Administrationunmatched
Managed Careunmatched
Medicaidunmatched
Medicareunmatched
Medicationsunmatched
Performance Managementunmatched
Pharmacyunmatched
Policy Implementationunmatched
Quality Assuranceunmatched
Retailunmatched
Standards Developmentunmatched
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