Quality Assurance Pharmacist Lead

3 weeks ago


Long Beach, California, United States Blue Shield of CA Full time
About the Position
Blue Shield of CA seeks a skilled Quality Assurance Pharmacist Lead to join our team. In this critical role, you will be responsible for designing, developing, maintaining, and delivering audit programs for the Prior Authorization/Drug Utilization program. This position reports to the Sr. Manager, Medication Policy, Pharmacy Services. A key aspect of the job is facilitating new hire and ongoing audits while serving as a role-model and change agent.

Responsibilities
To succeed in this position, you will need a Doctor of Pharmacy (PharmD) degree and an active California Registered Pharmacist (RPh) license. At least 2 years of experience in clinical pharmacy, with 1 year in Drug Utilization Review or an equivalent program within a Managed Care environment, is highly desired. Strong documentation and organization skills are essential, as well as proficiency in AuthAccel and Microsoft Office applications. Knowledge of prior authorization regulatory requirements and experience with training technology systems, platforms, and tools are also valuable assets.

Compensation
The estimated annual salary for this position is between $118,800 and $178,200, based on your experience, location, and current employee salaries for similar roles.

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