Job Description
Summary:
Responsibilities:
- 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 case management team with members, including clinical rounds presentations.
Requirements:
- Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy.
- Minimum of 2 years of mail order, retail, hospital, or managed care pharmacy experience, or 1 year of pharmacy residency program experience.
- Current state’s Pharmacist license with no restrictions.
Numbers & Facts
| Location | Various, FL |
| Salary | $94.34 Per Hour |
Skills
Biotech and Pharmaceuticalunmatched
Case Managementunmatched
Clinical Supportunmatched
Hospital Administrationunmatched
Managed Careunmatched
Medicaidunmatched
Medicareunmatched
Medicationsunmatched
Performance Managementunmatched
Pharmacyunmatched
Policy Implementationunmatched
Quality Assuranceunmatched
Retailunmatched
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