Clinical Pharmacist

4 days ago


Lansing, Michigan, United States LanceSoft Full time
Job Title: Clinical Pharmacist

LanceSoft is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a critical role in reviewing Part B medical drug prior authorization requests and promoting appropriate utilization review of prescription drug claims among our participating physicians.

Key Responsibilities:
  • Review Part B medical drug prior authorization requests according to Client regulations and clinical coverage criteria.
  • Call prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information.
  • Collaborate with physicians to promote efficient utilization review of prescription drug claims.
  • Develop and implement strategies to reduce Client's drug benefit payout and improve the quality of benefits as it relates to our members.
  • Serve as a liaison to the Medical Policy department, assisting with the development of medical policy as it applies to drugs.
Requirements:
  • Bachelor's Degree or Doctorate in Pharmacy required.
  • At least three years of experience consulting with physicians on pharmaceutical issues or completion of an accredited American Society of Health-System Pharmacists (ASHP) or Academy of Managed Care Pharmacy (AMCP) or Managed Care Pharmacy or Pharmacy Practice Residency.
  • Current unrestricted Michigan pharmacy license.
Education/Certifications:
  • PharmD or BS Pharmacy.
  • Active and unrestricted pharmacist license in State of Michigan.


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