Job Description
Work Mode: 100% Remote any time zone EXCEPT PST
Duration: 3 months contract
Shift: 9 AM – 6 PM local time (EXCEPT PST), no OT requirements
Responsibilities:
- Review a patient’s medical information and pharmacy claims for gaps in care and drug therapy problems with an expectation of 90% productivity daily
- Develop clinical criteria for medications, recommend plan design changes, and initiate clinical programs
- Monitor prior authorization requests
- Provide clinical support to internal departments and address clinical-related questions
- Ensure appropriate quality controls and initiate 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 the case management team with members including clinical rounds presentations
Requirements:
- B.S. in Pharmacy or PharmD
- Licensed in the state of residence
- At least 2 years of MTM experience
Preferred Skills:
- Work independently
- Critical thinking
- Clinical skill
| Candidate Requirements |
| Education/Certification | Required: B.S. in Pharmacy or PharmD | Preferred: |
| Licensure | Required: required to be licensed in state of residence | Preferred: |
Years of experience required: at least 2 years MTM experience Disqualifiers: Not having MTM experience Additional qualities to look for:NA |
- Top 3 must-have hard skills stack-ranked by importance
| 1 | Work independently |
| 2 | Critical thinking |
| 3 | Clinical skill |
Numbers & Facts
| Location | Various, FL (Remote) |
| Salary | $66.40 Per Hour |
Skills
Case Managementunmatched
Clinical Supportunmatched
Drug Therapyunmatched
Medicaidunmatched
Medical Recordsunmatched
Medicareunmatched
Medicationsunmatched
Performance Managementunmatched
Pharmacyunmatched
Policy Implementationunmatched
Quality Assuranceunmatched
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