Clinical Pharmacist
4 weeks ago
We are seeking a highly skilled Clinical Pharmacist to join our team at Russell Tobin. As a Clinical Pharmacist, you will play a critical role in reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design.
Key Responsibilities:- Review Prior Authorization cases and render coverage determinations based on clinical criteria and plan design
- Consult with physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases
- Consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested
- Have sharp attention to detail, using established criteria and guidelines, gather complex clinical information, coverage policy and criteria information, and work within regulatory guidelines to make coverage determinations
- Organize workload, set priorities, complete assignments in a timely manner, and utilize resources appropriately while complying with department program standards
- Perform all duties and functions in compliance with state and federal pharmacy laws and regulations
- Conform with and support department quality assurance and improvement guidelines
- Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team
- Patient Safety and Quality of work is paramount, and it's essential for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
- Resolve issues and complaints in a timely manner
- Perform other duties as assigned by management
- Bachelor's or Doctorate of Pharmacy; Active State Pharmacist License
- 6+ months of Customer Service/Customer Relations with Healthcare professionals
- Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document), and Microsoft Outlook (ability to send emails)
Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
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Clinical Pharmacist
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Clinical Pharmacist
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