Clinical Health Specialist

2 days ago


Winter Garden, Florida, United States Pyramid Consulting Full time

Job Overview

We are seeking a skilled Clinical Pharmacist to join our team at Pyramid Consulting, Inc.

Responsibilities
  • Direct Resources: Direct resources to individual cases, projects, or critical needs.
  • Update Health Plan Documentation: Update health plan pharmacy documentation in conjunction with state laws.
  • Review Prior Authorization Requests: Review prior authorization requests and technician determinations for drug products according to member benefits and coverage criteria.
  • Clinical Guidance: Provide clinical guidance and support to pharmacy technicians as needed.
  • Research Drug Information: Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews.

Key Requirements

* A PharmD degree and current state's Pharmacist license with no restrictions.

* 3+ years of retail or hospital pharmacy experience or 1+ years of managed care pharmacy experience.

* Clinical pharmacy in managed healthcare or retail experience preferred.

Estimated Salary

The estimated salary for this position is $54.50/hour, based on the job requirements and location.

Benefits

Employee benefits include health insurance (medical, dental, vision), 401(k) plan, and paid sick leave.



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