Clinical Pharmacist Specialist

4 weeks ago


Providence, Rhode Island, United States ConsultNet Full time
Clinical Pharmacist Job Description

The Clinical Pharmacist is a key member of our team, responsible for delivering high-quality clinical services to support our clients' Rx initiatives. We are seeking a certified, highly motivated, and experienced pharmacist who can effectively communicate with members, clients, and providers regarding pharmacy benefits and clinical administration.

Key Responsibilities:
  • Ensure timely processing of member overrides and accurate plan processing.
  • Comply with all CMS guidelines for Medicare Part D.
  • Prioritize authorizations, formulary maintenance, drug utilization review, and building drug rules for Commercial and Medicare Part D clients.
  • Coordinate and research drug information for new clinical programs and initiatives.
  • Conduct drug use evaluations and provide clinical information to clients as needed.
  • Support Call Center staff with clinical input and execute clinical initiative programs.
Requirements:
  • Working knowledge of managed care pharmacy services and Coverage Determination workflows.
  • Thorough understanding of Medicare Part D regulations.
  • Previous experience in clinical information coordination and excellent writing skills.
Education and Experience:
  • Bachelor of Science Degree in Pharmacy or PharmD.
  • Minimum of 2 years of experience working as a retail pharmacist.
  • 3 years of experience in the Clinical Services Department of a PBM.

We are an Equal Opportunity Employer and welcome applicants from diverse backgrounds. Our comprehensive service offerings cover a wide range of technology positions across key markets nationwide. We champion equality and inclusivity, proudly supporting an Equal Opportunity Employer policy.



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