Job Description
Summary:
- 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, drug therapy problems, etc. with an expectation of 90% productivity daily
- Develop clinical criteria for medications and 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 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 case management team with members, including clinical rounds presentations
Requirements:
- B.S. in Pharmacy or PharmD
- Licensed in state of residence
- At least 2 years of MTM experience
Preferred Skills:
- Ability to work independently
- Strong critical thinking skills
- Advanced clinical skills
Numbers & Facts
| Location | Various, FL (Remote) |
| Salary | $94.34 Per Hour |
Skills
Case Managementunmatched
Clinical Competencyunmatched
Clinical Supportunmatched
Drug Therapyunmatched
Medicaidunmatched
Medical Recordsunmatched
Medicareunmatched
Medicationsunmatched
Performance Managementunmatched
Pharmacyunmatched
Policy Implementationunmatched
Quality Assuranceunmatched
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