Clinical Pharmacist

3 days ago


Lansing, Michigan, United States LanceSoft Full time
Job Title: Clinical Pharmacist

LanceSoft is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a crucial role in reviewing Part B medical drug prior authorization requests according to Client regulations and clinical coverage criteria.

Key Responsibilities:
  • Review and analyze Part B medical drug prior authorization requests to ensure compliance with Client regulations and clinical coverage criteria.
  • Communicate with prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information.
  • Promote appropriate and efficient utilization review of prescription drug claims among client's participating physicians.
  • Collaborate with the Medical Policy department to develop medical policy as it applies to drugs.
  • Provide education to physicians and influence prescribing patterns to reduce Client's drug benefit payout and improve the quality of the benefits as it relates to our members.
Requirements:
  • Bachelor's Degree or Doctorate in Pharmacy required.
  • At least three years of experience consulting with physicians on pharmaceutical issues or completion of an accredited American Society of Health-System Pharmacists (ASHP) or Academy of Managed Care Pharmacy (AMCP) or Managed Care Pharmacy or Pharmacy Practice Residency.
  • Current unrestricted Michigan pharmacy license.
Education/Certifications:
  • PharmD or BS Pharmacy.
  • Active and unrestricted pharmacist license in State of Michigan.

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