Pharmaceutical Consultant
3 days ago
Job Summary
The Consultant Pharmacist II plays a crucial role in the Clinical Pharmacy Services team, providing clinical expertise in drug utilization review programs. This position involves reviewing prior authorization requests, determining medical necessity, and ensuring program compliance.
Key Responsibilities
- Participate in the orientation and training of Consultant Pharmacist I staff.
- Review clinical documentation to determine medical necessity and program compliance.
- Decide on prior approval requests for prescription medications in real-time.
- Provide pharmaceutical expertise to advisory board clinical workgroups.
- Monitor over- and under-utilization of prescribed medicines.
- Assist in monitoring and researching profiles for compliance.
- Refer suspected abuse and fraudulent members to program management.
- Participate in site visits and quality improvement initiatives.
Qualifications
- Bachelor of Science degree in Pharmacy with 2 years of pharmacy-related work experience, or Doctor of Pharmacy degree with 1 year of experience, or Doctor of Pharmacy with completion of 1 year of pharmacy residency.
- Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts.
- Ability to travel to off-site locations.
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