Biotech and Pharmaceutical, Case Management, Clinical Support, Hospital Administration, Managed Care, Medicaid, Medicare, Medications, Performance Management, Pharmacy, Policy Implementation, Quality Assurance, Retail
Summary:
- Contract Type: Contract Only
Responsibilities:
- Develop clinical criteria for medications and recommend plan design changes.
- 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:
- Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy.
- Minimum 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.
A
Axelon Services Corporation