Pharmacist - Medication Prior Authorization and Clinical Program

3 weeks ago


Phoenix, Arizona, United States Blue Cross Blue Shield of Arizona Full time
Job Summary

We are seeking a highly skilled Pharmacist to join our team at Blue Cross Blue Shield of Arizona. As a key member of our team, you will be responsible for providing clinical expertise and guidance in the areas of medication prior authorization and clinical program development.

Key Responsibilities
  • Review and make determinations on prior authorization requests for medication therapies
  • Develop and maintain clinical criteria for review of non-formulary or non-preferred drug requests
  • Collaborate with healthcare providers to develop and implement clinical programs aimed at improving patient outcomes
  • Provide clinical guidance and support to pharmacy technicians and other team members
  • Stay up-to-date with industry trends and developments in medication therapy and clinical program management
Requirements
  • Doctor of Pharmacy (Pharm.D.) degree
  • Active, current, and unrestricted State of Arizona pharmacist license
  • Minimum 1 year of experience in specialty medications or direct prior authorization experience
  • Excellent problem-solving and communication skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
Preferred Qualifications
  • 5 years of experience as a practicing pharmacist
  • 3 years of experience in the managed care pharmacy field
  • 2 years of direct prior authorization experience
  • Working knowledge of MediSpan data system, including GPI drug classification system
What We Offer

At Blue Cross Blue Shield of Arizona, we offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented Pharmacist looking for a challenging and rewarding role, we encourage you to apply.



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