
Pharmacist, Advisor
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in United States.
• Ensure adherence to both state and federal regulations, including Medicaid mandates.
• Conduct clinical assessments of medication therapy, which encompass prior authorization reviews and evaluations of drug utilization.
• Engage in peer-to-peer consultations with healthcare providers.
• Facilitate prescriber outreach for targeted clinical interventions.
• Offer clinical support to call center teams.
• Address pharmacy-related inquiries and manage escalations.
• Participate in quality improvement initiatives, optimize programs, and develop best practices.
• Assist in state meetings and contribute to state-required deliverables related to account management.
• Provide insights on clinical policies, drug utilization, and pharmacy operations.
• Ensure alignment of pharmacy strategies with regulatory standards and organizational goals.
• 2–4 years of experience in clinical pharmacy is required.
• In-depth knowledge of clinical pharmacy programs is essential.
• Familiarity with drug utilization review processes.
• Understanding of regulatory requirements is necessary.
• Experience with Medicaid/Medicare pharmacy programs or in PBM environments is preferred.
• Strong analytical capabilities are required.
• Excellent communication skills are a must.
• Proficient stakeholder engagement skills are essential.
• Ability to work remotely within the United States.
• Availability to provide coverage from 10:00 AM to 7:00 PM CST.
• Willingness to travel up to 10% is required.
• Flexible working hours.
• Emphasis on work-life balance.
• Opportunities for continuous learning and career advancement.
• Flexible vacation policy.
• 401(k) employer matching.
• Comprehensive health benefits package.
• Educational assistance programs.
• Leadership and technical development academies.
Alliant Insurance Services
Shields Health Solutions
Centene Corporation
Centene Corporation
Get handpicked remote jobs straight to your inbox weekly.