Pharmacist, Consultant

1 week ago


Long Beach, United States Blue Shield of California Full time

Your Role
The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and change agent.Your Work
In this role, you will:

Conduct and maintain audit records to support compliance with all regulatory and accreditation requirements
Coordinate with pharmacy leaders to identify new training needs for existing employees
Identify issues, develop, and implement an appropriate action plan that focuses on performance improvement goals
Provide support for quality audit programs with external vendors
Report and provide timely feedback of audit results to management
Provide subject matter expertise to fellow team members performing drug utilization review to ensure high quality reviews using evidence-based clinical decision making with emphasis on being member-centric
Collaborate cross-functionally with onboarding and training of new DUR team members for all lines of business 
Provide external reports for DMHC, NCQA, CMS, and DHCS
Your Knowledge and Experience

Requires a Doctor of Pharmacy (PharmD) degree
Requires an active California Registered Pharmacist (RPh) license
Requires 2 years of experience in clinical pharmacy, with at least 1 year of experience in Drug Utilization Review or equivalent program within a Managed Care environment preferred
Excellent documentation and organization skills is preferred
Excellent verbal and written communication skills is preferred
Proficiency with AuthAccel and Microsoft Office applications is preferred
Knowledge of prior authorization regulatory requirements is preferred
Experience with training technology systems, platforms, and tools are preferred

Pay Range:
The pay range for this role is: $ 118800.00 to $ 178200.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-MM4



  • Long Beach, United States Blue Shield of CA Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield of California Full time

    Your RoleThe Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield Of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, CA, United States Blue Shield of California Full time

    Your Role The Pharmacist, Consultant (Quality Assurance Pharmacist) is responsible for the design, development, maintenance, and delivery of audit programs for the Prior Authorization/Drug Utilization program. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this role facilitates new hire and ongoing audits and serves as a role-model and...


  • Long Beach, California, United States Walgreens Full time

    OverviewWalgreens is seeking a dedicated and compassionate Pharmacist (Full or Part Time) to join our team. This role offers a unique opportunity to provide exceptional patient care while staying up-to-date with the latest advancements in pharmacy consulting services.


  • Long Beach, California, United States Blue Shield of CA Full time

    Job SummaryThe Clinical Pharmacy Consultant will play a key role in the design, development, and delivery of audit programs for the Prior Authorization/Drug Utilization program at Blue Shield of CA. Reporting to the Sr. Manager, Medication Policy, Pharmacy Services, this position will facilitate new hire and ongoing audits, serving as a role-model and change...


  • Myrtle Beach, South Carolina, United States Grand Strand Health Full time

    **Clinical Pharmacist Job Summary**We are seeking a highly skilled Clinical Pharmacist to join our team at Grand Strand Health. The successful candidate will be responsible for providing high-quality patient care and ensuring the safe and effective use of medications.**Responsibilities**As a Clinical Pharmacist, your primary responsibilities will...

  • Pharmacist

    2 months ago


    Myrtle Beach, United States Grand Strand Health Full time

    Description Grand Strand Medical Center is looking for afull-time day shift ClinicalPharmacist!At Grand Strand Medical Center, our pharmacists are an integral part of the patient’s care team. We work directly with our providers and nurses in a decentralized model and are extremely active in monitoring, adjusting, and recommending pharmacologic therapies....

  • Pharmacist

    2 days ago


    West Palm Beach, United States Actalent Full time

    Actalent is Hiring a Pharmacist for Closed Door Pharmacy! Job Description We are seeking a dedicated Long-Term Care Pharmacist for a temporary position in a closed-door shipping pharmacy. This role involves final review and validation of prescriptions, ensuring accuracy and compliance before they are sent out. This is a great opportunity for a pharmacist...


  • Miami Beach, Florida, United States Mount Sinai Medical Center of Florida Full time

    Career Opportunities at Mount Sinai Medical Center of FloridaMount Sinai Medical Center of Florida invites applications for the position of Medication Management Pharmacist. As a Clinical Pharmacy Specialist Lead, you will be responsible for providing personalized patient care and pharmacy consulting services, building relationships with local physicians,...

  • Pharmacist

    3 weeks ago


    Myrtle Beach, United States Grand Strand Health Full time

    Description Grand Strand Medical Center is looking for a full-time day shift Clinical Pharmacist! At Grand Strand Medical Center, our pharmacists are an integral part of the patients care team. We work directly with our providers and nurses in a decentralized model and are extremely active in monitoring, adjusting, and recommending pharmacologic therapies....

  • Pharmacist

    6 days ago


    West Palm Beach, United States Actalent Full time

    Job Title: Long-Term Care PharmacistJob Description We are seeking a dedicated Long-Term Care Pharmacist for a temporary position in a closed-door shipping pharmacy. This role involves final review and validation of prescriptions, ensuring accuracy and compliance before they are sent out. This is a great opportunity for a pharmacist looking to supplement...

  • Pharmacist - PRN

    2 months ago


    Myrtle Beach, United States Grand Strand Health Full time

    Description At Grand Strand Medical Center, our pharmacists are an integral part of the patient’s care team. We work directly with our providers and nurses in a decentralized model and are extremely active in monitoring, adjusting, and recommending pharmacologic therapies. As a Pharmacist at Grand Strand, you will feel valued and practice at the top of...

  • ONCOLOGY PHARMACIST

    2 weeks ago


    Rehoboth Beach, United States Beebe Healthcare Full time

    Job: ONCOLOGY PHARMACIST Location US-DE-Rehoboth ID Category Clinical Professional Position Type Full-Time Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive...


  • Panama Beach, United States Concentric Healthcare Staffing Full time

    Concentric is currently seeking candidates in Pharmacy profession with focus in Pharmacist (Pharmacy) for a 13 week contract in the Panama City, FL area. Concentric is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and our consultative approach has helped us become a premier...