Pharmacist and Clinical Expert

1 week ago


Rancho Cordova, California, United States Blue Shield of California Full time

Blue Shield of California is seeking a highly skilled Pharmacist and Clinical Expert to join our team. In this role, you will provide pharmacotherapy expertise for Blue Shield's pharmacy program by supporting key initiatives such as the Pharmacy and Therapeutics Committee, drug formulary, and prior authorization programs.

About the Role:

  • Support the operational and clinical implementation of medication policies for drugs provided under the medical benefit.
  • Assist in preparing materials for audits and reports; complete projects as assigned.
  • Provide clinical and operational expertise in post-service requests, completed within regulatory required timeframes.
  • Serve as an educational resource to internal and external constituents regarding the Blue Shield drug formulary, medication policies, and appropriate drug use.

Requirements:

  • A Doctor of Pharmacy (Ph.D.) degree
  • A currently active and unrestricted California Registered Pharmacist (RPh) license
  • At least 2 years of experience in clinical pharmacy
  • Prior experience in managed care/PBM is preferred
  • Excellent oral and written communication skills

Salary and Benefits:

The estimated salary range for this position is $118,800.00 to $178,200.00 per year, based on factors such as location and experience. As a member of our team, you can expect a comprehensive benefits package, including opportunities for professional growth and development.

Why Join Us?

At Blue Shield of California, we are committed to delivering high-quality healthcare services to our members. Our team is passionate about making a difference in the lives of others, and we welcome candidates who share our values and commitment to excellence.



  • Rancho Cordova, California, United States Rite Aid Full time

    **Job Description**We are seeking a highly motivated and experienced Regional Pharmacist to join our team at Rite Aid. As a Regional Pharmacist, you will play a critical role in ensuring that our patients receive the highest level of care and support. The ideal candidate will have a strong passion for delivering exceptional patient care, a keen understanding...

  • Medical Director

    4 days ago


    Rancho Cordova, California, United States Blue Shield of California Full time

    About the RoleThe Blue Shield of California is seeking a highly skilled Pharmacist, Consultant to join its team. In this role, you will provide pharmacotherapy expertise to support the company's pharmacy program, including the Pharmacy and Therapeutics Committee, drug formulary, and utilization review programs.You will work closely with internal teams to...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    About the RoleBlue Shield of California and Promise Health Plan are seeking a skilled Clinical Quality Analytics and Informatics professional to join our team. As a Clinical Quality Analyst - Senior, you will play a critical role in delivering high-quality clinical analytics and informatics to support our mission of providing excellent member-centered...


  • Rancho Cordova, California, United States Rite Aid Full time

    **Job Overview**Rite Aid seeks a highly skilled and dedicated Regional Pharmacist to join our team. This role is an excellent opportunity for individuals who are passionate about delivering exceptional patient care and making a positive impact on the healthcare landscape.The successful candidate will be responsible for assisting customers with their...

  • Travel Nurse RN

    3 days ago


    Rancho Cordova, California, United States Host Healthcare Full time

    About the OpportunityWe are seeking a highly skilled and experienced Registered Nurse - Clinical Coordinator to join our team at Host Healthcare. As a travel nurse, you will have the opportunity to work with a variety of patients and develop your clinical skills in a dynamic and fast-paced environment.Job DescriptionThe ideal candidate will have 1-2 years of...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    At Blue Shield of California, we are dedicated to accelerating the emergence of a value-based healthcare system in our state.About the RoleWe are seeking a Senior Medical Director, Behavioral Health to lead our behavioral health medical director team and oversee clinical strategies. This role involves direct participation in utilization reviews and quality...


  • Rancho Cordova, California, United States Rite Aid Full time

    **About the Role**We are seeking a highly skilled and dedicated Regional Pharmacist to join our team at Rite Aid. As a Regional Pharmacist, you will play a vital role in ensuring that our patients receive the highest level of care and support. The ideal candidate will have a strong passion for delivering exceptional patient care, a keen understanding of...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    About the RoleWe are seeking a highly skilled and experienced Senior Medical Director, Behavioral Health to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a vital role in ensuring that we are on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    Your OpportunityJoin Blue Shield of California as a Senior Medical Director, Behavioral Health and take the lead in shaping the organization's behavioral health clinical strategy.This role is responsible for overseeing the clinical behavioral health program, managing the behavioral health medical director team, and providing subject matter expertise to...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    About the RoleAs a Senior Medical Director, Behavioral Health at Blue Shield of California, you will lead our clinical strategy in behavioral health services. You will oversee the clinical behavioral health program and provide leadership to the behavioral health medical director team.Your Key ResponsibilitiesChair the behavioral health committee and...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    The Blue Shield of California Medical Policy team is a forward-thinking group that prioritizes medical, medication, and payment policy innovation to accelerate the emergence of a value-based healthcare system in California. As a Senior Medical Director, you will be an integral part of this team.Your primary role will involve working closely with leaders to...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    Job SummaryWe are seeking an experienced Clinical Compliance Director to join our team at Blue Shield of California. This role will oversee the development and maintenance of our audit playbook for all lines of business, ensuring compliance with regulatory requirements.About the RoleDevelop new perspectives and innovative approaches on existing problems;...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    Lead the Way in Clinical Policy InnovationWe are seeking a Strategic Medical Director for Clinical Policy Innovation to join our team at Blue Shield of California.About the Role:In this role, you will be responsible for providing clinical oversight and input for medical policy operations. You will chair the Medical Policy Committee and work closely with...


  • Rancho Cordova, California, United States Ascentia Staffing Full time

    We are seeking a skilled Travel Physical Therapist to join our team in Fairfield, California. This 13-week assignment will provide an excellent opportunity for a seasoned professional to work in an Outpatient Clinic setting.About the JobDuration: 13 weeksShift: 8 hoursEmployment Type: TravelThe ideal candidate will have a strong background in physical...


  • Rancho Cordova, California, United States Ascentia Staffing Full time

    We are seeking a highly skilled Physical Therapist to join our team in Fairfield, California.About the JobThis 13-week assignment is an excellent opportunity for experienced physical therapists to work in an outpatient clinic setting. The ideal candidate will have a strong passion for delivering high-quality patient care and be able to adapt to new...


  • Rancho Cordova, California, United States Blue Cross and Blue Shield Association Full time

    About Blue Cross and Blue Shield AssociationAs a leading health insurance organization, our mission is to provide high-quality care to millions of members across the United States.Salary Range:$70,000 - $100,000 per yearJob Description:Federal Employee Program (FEP) Case Manager RoleWe are seeking an experienced Clinical Registered Nurse Case Manager to join...


  • Rancho Cordova, California, United States Blue Shield of California Full time

    About the RoleWe are seeking a highly skilled Medical Director, Behavioral Health to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a critical role in ensuring the quality and efficiency of mental health services.ResponsibilitiesOversee pre- and post-service utilization reviews to ensure compliance...


  • Rancho Cordova, California, United States Planet Healthcare Full time

    Planet Healthcare, a global leader in clinical staffing, is seeking an experienced Senior Healthcare Professional to lead our Emergency Department team. This is a 16-week travel nursing opportunity in Cordova, Alaska.About the Role:Specialty: Emergency DepartmentDiscipline: RNStart Date: ASAPDuration: 16 weeks36 hours per weekShift: 8 hours, daysEmployment...

  • Travel RN

    7 days ago


    Rancho Cordova, California, United States Mercy Home Health Full time

    Job Title: Travel RN - Home Health SpecialistCompany Overview: Mercy Home Health is a leading provider of home health care services, dedicated to delivering high-quality patient care and support. As a Travel RN, you will play a vital role in our team, providing expert nursing care to patients in their homes.Salary: $2488.0 per week, based on industry...


  • Rancho Cordova, California, United States Ascentia Staffing Full time

    As a trusted national healthcare management, consulting, and staffing firm, Ascentia Staffing is dedicated to delivering top-notch allied medical professionals to healthcare systems across the United States. Our team of experts works closely with hospitals and facilities to provide tailored staffing solutions that meet their unique needs.We are currently...