Principal Pharmacist

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Assess drug and drug class evaluations utilizing evidence-based research.

• Create clinical prior authorization criteria recommendations and documents for review by P&T and/or DUR Boards.

• Analyze clinical and pricing data to inform coverage and preferred drug list determinations.

• Collaborate with physicians and other prescribers regarding trends and prescribing of specialty medications.

• Examine prescription claims data and prescribing practices to formulate retrospective DUR initiatives.

• Present DUR initiatives, encompassing methods, interventions, communications, and results, to P&T or DUR Boards.

• Advise prescribers about identified prescribing outliers and assess prior authorization data for potential interventions.

• Enhance consultation scripting based on stakeholder feedback.

• Support the implementation and management of communications directed at physicians and prescribers.

• Maintain edits and data elements that support pharmacy programs.

• Offer consultation on pharmacy-related inquiries and concerns.

• Contribute to ongoing quality improvement and identify areas for enhancement.

• Keep up-to-date with current medication knowledge and maintain clinical integrity.

• Collaborate with Medical Directors, medical, clinical, operations, reporting, product, and other internal teams.

• Devise innovative solutions to enhance pharmacy team efficiency and effectiveness.

⛳️ Requirements

• Licensed Pharmacist with appropriate State Licensure.

• PharmD (preferred) or Bachelor of Pharmacy degree.

• At least 5 years of experience in clinical pharmacy or PBM.

• Familiarity with Medicaid regulations at the state and/or federal level.

• Understanding of pharmacy-related aspects of Medicaid.

• Experience participating in P&T Committees and DUR Boards.

• Ability to communicate clearly and accurately in both written and spoken English.

• Capability to conduct clinical reviews using relevant compendia and clinical trial data.

• Managed care pharmaceutical service experience is a plus.

• Strong research and implementation abilities.

• Analytical skills to convert findings into actionable recommendations.

• Exceptional organizational, written, and verbal communication skills.

• Uphold confidentiality and adhere to HIPAA regulations.

• Proficient in Microsoft Office products and capable of quickly learning proprietary systems.

• Skilled in work organization and problem-solving techniques.

🏝️ Benefits

• Flexible hours and remote work options.

• 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 available.

• Leadership and technical development academies.