Pharmaceutical Specialist

6 days ago


South Bend, Indiana, United States Lifelancer Full time
About the Role

Cambia is seeking an experienced Clinical Pharmacist Consultant to join our team. As a key member of our Pharmacy Services group, you will provide expert clinical guidance and decision-making support to optimize medication choices for efficacy, safety, and affordability.

Key responsibilities include evaluating prior authorization requests, appeals, and retrospective claim reviews, providing coverage recommendations, and serving as a resource for medical directors, case managers, and other staff on clinical, policy, and benefit-related questions and interventions.

Responsibilities
  • Deliver high-quality pharmacy clinical services for Medication Benefit Management, working independently within established frameworks and guidelines to optimize cost-containment and quality improvement.
  • Provide evidence-based clinical decision-making to determine medications with the best value for efficacy and safety, applying best practices and evidence-based medicine processes.
  • Analyze and interpret healthcare cost information to forecast trends and identify opportunities for quality improvement and cost-effective prescription drug programs, using data from medication utilization reports.
  • Present clinical positions on medication analysis in a clear and concise manner, and provide creative thinking and leadership in accomplishing goals of quality improvement and cost-effective prescription drug programs.
  • Identify, develop, implement, and track complex cross-functional programs, projects, and initiatives related to the provision of pharmacy benefits that impact safety, quality, and affordability.
Requirements
  • Bachelor's degree in Pharmacy or Doctor of Pharmacy (Ph.D.) or related field.
  • 3-5 years of experience in clinical acute care/hospital setting.
  • Equivalent combination of education and experience.
  • Pharmacy license. Successful completion of a pharmacy residency or advanced degree in health-related field preferred. Must be an active and unrestricted licensed pharmacist in state of practice.
Benefits
  • Competitive salary: $119,900 - $162,200 per year.
  • Market-leading 401(k) with a significant company match.
  • Generous paid time off varying by role and tenure.
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.


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