Clinical Pharmacist

3 weeks ago

Morris Plains, United States Mindlance Full time

Job Description Summary

The Clinical Pharmacist completes assigned operational tasks using standard appropriate tools (Siebel, BA, Clinical Rules Platform, Criteria, Coverage Benefits, etc.) and provides support to client requests under the direction of the Managers and other team members. Responsibilities include (but not limited to) support of service transactions associated with business needs including but not limited to business partner support and internal team support, handling daily request tracking, researching operational issues and running reports for internal and external clients upon request; provide documentation related to completion of assigned tasks. The Clinical Pharmacist will provide support to the team and escalate issues, risks, concerns as needed. The applicant will be expected to work in agile, flexible shift model which will include supporting 2nd shift schedule (12-8 pm EST) including weekends to help meet business and operational deliverables.

ABOUT THE DEPARTMENT

The mission of Client Benefit Services is to meet market needs for speed, flexibility and reliability, while driving and influencing best operational practices to position the company to be competitive and effective in the marketplace.

Job Functions

Accurately analyze & configure benefit intent

Work with internal partners to ensure all implications of requested clinical

benefit requirements are vetted, understood and communicated as

necessary

Accountable for timely and accurate translation of client intent into the appropriate clinical systems.

Track and communicate status of service requests as necessary

Meet with business partners to discuss and clarify clinical benefit requirements

Analyze new requirement against existing setup

Clarifying implications of intent

Provide assistance to team members with POST GO LIVE issue resolution.

Translate requirements as necessary into internal requests/submissions for vendor.

Manages and tracks all requests to ensure timelines are met including the

proactive management of client specific performance guarantees.

Responsible for communicating completed benefit notifications to client with documentation of accurate set up.

Complete random review of work completed by coding teams

Develop an understanding of associated clinical applications

Will act as resource in the build and maintenance of the "Client Benefits"
QUALIFICATIONS

RPh, PharmD preferred

Current RPh Licensure in good standing as required by the state in which work is performed

Microsoft office with a strong understanding of Excel and Access

Written and verbal communication (listening, feedback; translating complex

ideas/processes), collaboration, analytical thinking/critical thinking,

results-oriented and organizational skills.

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."

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