Utilization Management Clinical Pharmacist 2

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

📋 Description

• Conduct thorough medical necessity assessments and comprehensive medication evaluations for prescriptions that need pre-authorization.

• The tasks assigned are diverse and often necessitate interpretation and independent judgment to determine suitable courses of action.

• Perform a review that encompasses a detailed analysis of the medication care plan, evaluate overall utilization, and identify atypical usage patterns.

• Intervene and provide guidance to patients and healthcare providers to enhance cost-effective utilization and ensure high-quality patient outcomes, as required.

• Comprehend the department, segment, and organizational strategies and operational objectives, including their connections to related fields.

• Make decisions concerning personal work methods, sometimes in unclear circumstances.

• Adhere to established guidelines and procedures.

⛳️ Requirements

• A Bachelor's degree or Pharm.D is required.

• An active license with the Board of Pharmacy in the state of residence is mandatory.

• A pharmacy degree from an accredited college of pharmacy is essential.

• Capability to engage in Federal prescription programs, including Medicare and Medicaid reviews.

• Self-motivated, yet able to collaborate effectively within a team.

• Ability to resolve issues and foster collaborative problem-solving among peers.

• A work ethic that is diligent, precise, and highly productive.

• Excellent communication skills are necessary.

• Proficient in computer systems, with experience in various platforms (e.g., Microsoft Office, pharmacy management systems).

• Experience in managed care, particularly in utilization management review.

🏝️ Benefits

• Paid time off.

• 401(k) retirement savings plan.

• Employee assistance program.

• Business travel and accident coverage.