Clinical Pharmacist Expert
5 days ago
**About the Role:**
Allmed Staffing Inc is seeking a Clinical Pharmacist to perform clinical outreach, case review, and recommend clinical decisions to Medical Directors.
**Responsibilities:**
- Evaluate prescriptions and patient histories.
- Interpret physicians' prescriptions and clinical documentation, accessing clinical criteria and compendia support.
- Consult with customers, patients, and/or physicians regarding use of medications, potential drug interactions, and clinical status for appeals requests.
- Review formulary and utilization management guidelines to determine if the drug should be a covered benefit for the beneficiary based on their medical history.
- Research, evaluate, and make determinations on member and provider appeals of pharmacy coverage decisions.
**Requirements:**
- Doctoral degree in Pharmacy.
- Prior PBM experience and Part D experience.
- Experience using online clinical references and accessing professional (clinical and regulatory) internet sites.
- Intermediate computer proficiency with MS Office and ability to navigate a Windows-based environment.
Estimated Salary: $60.00 per hour.
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