Pharmaceutical Care Specialist

2 weeks ago

Morris Plains, New Jersey, United States Cigna Full time
Position Overview:

The Clinical Pharmacist is responsible for executing designated operational duties utilizing standard tools (such as Siebel, BA, Clinical Rules Platform, Criteria, Coverage Benefits, etc.) while assisting client inquiries under the guidance of Managers and team members.

Key Responsibilities:

  • Support service transactions related to business requirements, including collaboration with business partners and internal teams.
  • Manage daily request tracking, investigate operational challenges, and generate reports for both internal and external stakeholders as needed.
  • Document completion of assigned tasks and provide assistance to the team, escalating issues, risks, and concerns as necessary.

The ideal candidate will be expected to operate within an agile, flexible shift model, which includes supporting the second shift schedule (12-8 pm EST) and weekends to fulfill business and operational objectives.

Department Overview:
The Client Benefit Services team is dedicated to addressing market demands for speed, adaptability, and reliability, while promoting best operational practices to maintain a competitive edge in the industry.

Job Functions:

  • Accurately assess and configure benefit intent.
  • Collaborate with internal partners to ensure comprehensive understanding and communication of requested clinical benefit requirements.
  • Ensure timely and precise translation of client intent into relevant clinical systems.
  • Monitor and communicate the status of service requests as necessary.
  • Engage with business partners to clarify clinical benefit requirements and analyze new requests against existing setups.
  • Assist team members with issue resolution post-implementation.
  • Translate requirements into internal requests for vendor submissions.
  • Manage and track all requests to ensure deadlines are met, including proactive management of client-specific performance guarantees.
  • Communicate completed benefit notifications to clients, ensuring accurate documentation of setups.
  • Conduct random reviews of work completed by coding teams and develop a comprehensive understanding of associated clinical applications.
  • Act as a resource in the development and maintenance of the 'Client Benefits' program.

Qualifications:

  • RPh or PharmD preferred.
  • Current RPh Licensure in good standing as required by the state of employment.
  • Proficient in Microsoft Office, particularly Excel and Access.
  • Strong written and verbal communication skills, including listening, feedback, and the ability to translate complex ideas.
  • Collaboration, analytical thinking, critical thinking, results-oriented, and organizational skills are essential.

Location and Schedule:
This role is fully remote and open to candidates across the United States. The applicant will be expected to work in an agile, flexible shift model, which includes supporting the second shift schedule (12-8 pm EST) and weekends to meet business and operational deliverables.

Compensation:
The expected pay range for this position is between $38.79 and $51.72 per hour, depending on location and experience. Benefits include Medical, Dental, Vision, and 401K, provided minimum eligibility hours are met.

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Pyramid Consulting, Inc Full time

    We are currently seeking a skilled Clinical Pharmacist for a significant contract opportunity. This role is designed for individuals with a strong background in pharmaceutical care and is ideal for those looking to make an impact in the healthcare sector.Job Overview:Compensation: $50 - $53/hour. Our comprehensive employee benefits package includes health...

  • Pharmaceutical Care Specialist

    2 weeks ago

    White Plains, New York, United States i4 Search Group Full time

    POSITION TYPE: Healthcare ProfessionalSPECIALTY: Clinical PharmacistLOCATION: White Plains, NYSHIFT: EveningJOB TYPE: Full-Time PermanentAbout i4 Search Group:We are a prominent healthcare organization committed to delivering outstanding patient care and enhancing the overall health of the community.Job Title: Pharmaceutical Care SpecialistJob Summary:Are...

  • Pharmaceutical Care Specialist

    2 weeks ago

    White Plains, New York, United States Smith Arnold Partners Full time

    Become a vital member of a dedicated team in the healthcare sector, where we prioritize not just employment, but a strong sense of community. Our organization has been honored for excellence in nursing and quality care by esteemed bodies such as The Joint Commission and the Commission on Cancer (CoC). We are steadfast in our dedication to delivering...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Cigna Full time

    Position Overview:The Clinical Pharmacist plays a vital role in the operational framework of a leading global health insurance provider. This temporary role involves executing designated operational tasks utilizing standard tools such as Siebel, BA, Clinical Rules Platform, and Coverage Benefits, while also addressing client inquiries under the guidance of...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Cigna Full time

    Posición Temporal en una de las principales compañías de seguros de salud globalDescripción del Rol: Especialista en Atención FarmacéuticaEl Especialista en Atención Farmacéutica se encarga de completar tareas operativas asignadas utilizando herramientas estándar apropiadas (Siebel, BA, Plataforma de Reglas Clínicas, Criterios, Beneficios de...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Tailored Management Full time

    Title: Clinical Pharmacist Location: This position is 100% remote Schedule: M-F 9am-5:30pm EST (30 min unpaid lunch break) Training Schedule will be the same (3-4 weeks) Initial Assignment Length: 3 Months contract with possibility for extensionA leading global health insurance organization dedicated to enhancing the health, well-being, and peace of mind of...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Cigna Full time

    Position Overview:The Clinical Pharmacist plays a vital role in the operational framework of a leading global health insurance organization. This temporary role involves utilizing standard tools such as Siebel, BA, Clinical Rules Platform, and Coverage Benefits to support client inquiries under the guidance of management and team members.Key...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Mindlance Full time

    As a Clinical Pharmacist, you will be accountable for establishing clinical criteria tailored to business requirements. This includes, but is not limited to, providing support to clients, assisting with product inquiries, offering consultative guidance, and configuring Pharmacy/Medical Criteria. Additionally, you will play a vital role in supporting internal...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Tailored Management Full time

    Title: Clinical Pharmacist Location: This position is 100% remote Schedule: M-F 9am-5:30pm EST (30 min unpaid lunch break) Training Schedule will be the same (3-4 weeks) Initial Assignment Length: 3 Months contract with possibility for extensionA leading global health insurance organization dedicated to enhancing the health, wellness, and peace of mind of...

  • Pharmaceutical Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Tailored Management Full time

    Title: Clinical Pharmacist Location: This position is 100% remote Schedule: M-F 9am-5:30pm EST (30 min unpaid lunch break) Training Schedule: 3-4 weeks Initial Assignment Length: 3 Months contract with possibility for extensionA leading global health insurance organization dedicated to enhancing the health, well-being, and peace of mind of its clients. Join...

  • Pharmaceutical Care Specialist

    2 weeks ago

    White Plains, New York, United States i4 Search Group Healthcare Full time

    Job OverviewPOSITION TYPE: Healthcare ProfessionalSPECIALTY: Clinical PharmacistSHIFT: EveningJOB TYPE: Full-Time PermanentPosition Summary:Are you dedicated to enhancing patient health and well-being through pharmaceutical expertise?We are looking for a knowledgeable and committed Clinical Pharmacist to contribute to our healthcare services. In this role,...

  • Clinical Pharmacist

    12 hours ago

    Morris Plains, New Jersey, United States Option Care Health Full time

    Job SummaryOption Care Health is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will be responsible for providing safe and effective pharmacy services to our patients in accordance with our policies and procedures.Key ResponsibilitiesAssess Patient Suitability: Determine the suitability of individual patients for...

  • Pharmaceutical Care Specialist

    1 week ago

    White Plains, New York, United States i4 Search Group Healthcare Full time

    Job OverviewPOSITION TYPE: Healthcare ProfessionalSPECIALTY: Clinical PharmacistSHIFT: EveningJOB TYPE: Full-Time PermanentRole Summary:Are you dedicated to enhancing patient health and well-being?We are in search of a proficient and committed Clinical Pharmacist to contribute to our mission. In this role, you will be essential in delivering outstanding...

  • Pharmaceutical Care Specialist

    1 week ago

    White Plains, New York, United States i4 Search Group Healthcare Full time

    Job OverviewPOSITION TYPE: Healthcare ProfessionalSPECIALTY: Clinical PharmacistSHIFT: EveningJOB TYPE: Full-Time PermanentRole Summary:Are you dedicated to enhancing patient health and well-being?We are in search of a proficient and committed Clinical Pharmacist to contribute to our mission. In this role, you will be essential in delivering outstanding...

  • Data Science and Analytics Specialist

    9 hours ago

    Morris Plains, New Jersey, United States Genpact Full time

    Job DescriptionGenpact, a global professional services and solutions firm, is seeking a highly skilled Data Science and Analytics Specialist to join our team.About the Role:Collaborate with operations teams to identify automation requirements and develop innovative solutions.Design and implement data analytics and process automation tools using Python, R,...

  • Skin Care Specialist

    2 weeks ago

    Morris Plains, New Jersey, United States Massage Envy Full time

    Position Overview:Embark on a Rewarding Career in SkincareActive Skin Care Specialist License RequiredMinimum of 1 Year Experience PreferredAre you passionate about enhancing clients' confidence and beauty? As a Skin Care Specialist, you will have the opportunity to make a significant impact on clients' lives. At Massage Envy, we foster an environment that...

  • Printing Equipment Specialist

    1 week ago

    Morris Plains, New Jersey, United States Della Infotech Inc. Full time

    Job OverviewWe are seeking a skilled Printing Equipment Specialist to join our dynamic team at Della Infotech Inc. In this role, you will leverage your extensive knowledge of specialty pharmaceutical machinery to ensure optimal performance and quality in our production processes.Key ResponsibilitiesUtilize comprehensive understanding of mechanical operations...

  • Pharmaceutical Care Specialist in Oncology

    2 weeks ago

    White Plains, New York, United States White Plains Hospital Full time

    Position OverviewIn collaboration with the Director of Pharmacy Services, the Registered Oncology Pharmacist delivers comprehensive pharmaceutical care, engaging with the Infusion Center, Hematology Oncology Unit, and nursing staff within the Oncology Physician Practice. This role involves direct interaction with Hematology/Oncology Physicians, Infectious...

  • Pharmacist - Patient Care Specialist

    2 days ago

    White Plains, New York, United States ATC White Plains Full time

    Job SummaryATC White Plains is seeking a highly skilled Registered Pharmacist to join our team as a Patient Care Specialist. In this role, you will work under the general direction of the Director of Pharmacy Services to provide indirect patient care and pharmaceutical services to patients.Key ResponsibilitiesMedication Management: Review patient medication...

  • Pharmaceutical Care Specialist

    1 week ago

    White Plains, New York, United States ATC White Plains Full time

    Job OverviewPosition SummaryThe Clinical Pharmacist at ATC White Plains will operate under the guidance of the Director of Pharmacy Services, taking charge of the oversight and administration of effective antibiotic treatment protocols within the healthcare facility. This role involves managing critical care and high-risk patient populations as designated by...