Clinical Pharmacist
2 weeks ago
The pharmacist will review Part B medical drug prior authorization requests according to Client regulations and clinical coverage criteria. Call prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information.
Responsible for promoting appropriate and/or efficient utilization review of prescription drug claims among client's participating physicians.
This position is also responsible for the education of physicians and influencing of prescribing patterns to reduce Client's drug benefit payout and improve the quality of the benefits as it relates to our members. The incumbent serves as the liaison to the Medical Policy department assisting with the development of medical policy as it applies to drugs. Bachelor's Degree or Doctorate in Pharmacy required.
Requirement:
The Clinical Pharmacist must have at least three years of experience consulting with physicians on pharmaceutical issues or completion of an accredited American Society of Health-System Pharmacists (ASHP) or Academy of Managed Care Pharmacy (AMCP) or Managed Care Pharmacy or Pharmacy Practice Residency.
Current unrestricted Michigan pharmacy license.
Experience as a Clinical Pharmacist is required for the Clinical Pharmacist job classification.
Education/Certifications:
PharmD or BS Pharmacy
Active and unrestricted pharmacist license in State of Michigan
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